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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BIJAN BASTANINEJAD M.D.
NPI 1972589968
Pediatrics in Poplar Bluff, MO

Active since December 21, 2005PECOS Enrolled
225 PHYSICIANS PARK STE 304, POPLAR BLUFF, MO 63901(573) 727-5500(573) 399-2646 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, Sep 21, 2026, Aug 26, 2026 and 4 more (7 updates tracked since 2020).

About Bijan Bastaninejad M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIJAN BASTANINEJAD M.D. (NPI 1972589968) is an individual pediatrics provider in Poplar Bluff, Missouri, licensed in Missouri (2009039681) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and maintains 28 additional practice locations.

NPPES Registry Identity

NPI1972589968
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameBIJAN BASTANINEJADCredential: M.D.
Location Address225 PHYSICIANS PARK STE 304Poplar Bluff, MO 63901-3930
Mailing Address110 S 2nd StEllington, MO 63638-9400 · (573) 663-2313 · Fax (573) 663-2441
Phone(573) 727-5500
Fax(573) 399-2646
Sole ProprietorNo
Enumeration DateDecember 21, 2005
Last NPPES UpdateOctober 13, 20267 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1972589968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 2009039681
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
225 PHYSICIANS PARK STE 304, Poplar Bluff, MO 63901
Open in Google Maps ↗

Secondary Practice Locations 28

Location 12879 James BlvdPoplar Bluff, MO 63901-3395 · Phone (573) 712-1610 · Fax (573) 776-6124
Location 22300 Baugh LnPoplar Bluff, MO 63901-2402 · Phone (573) 785-3037 ext. 16044 · Fax (573) 413-4506
Location 3289 Broadway StNeelyville, MO 63954-7176 · Phone (573) 804-9494 · Fax (573) 804-9493
Location 4225 Physicians Park Ste 200Poplar Bluff, MO 63901-3921 · Phone (573) 727-5500 ext. 5 · Fax (573) 313-3684
Location 5220 East Broad StreetNaylor, MO 63953 · Phone (573) 399-2311 · Fax (573) 399-2076
Location 6225 Physicians Park Ste 102Poplar Bluff, MO 63901-3918 · Phone (573) 727-5500 ext. 2 · Fax (573) 413-4609
Location 71300 Victory LnPoplar Bluff, MO 63901-3300 · Phone (573) 785-5566 ext. 17097 · Fax (573) 413-4194
Location 83001 Warrior Ln Ste APoplar Bluff, MO 63901-8685 · Phone (573) 785-7453 · Fax (573) 785-7429
Location 9109 Plum St Ste CDoniphan, MO 63935-1225 · Phone (573) 351-0150
Location 10225 Physicians Park Ste 104Poplar Bluff, MO 63901-3918 · Phone (573) 413-4065 · Fax (573) 354-5013
Location 11603 E Summit StDoniphan, MO 63935-1142 · Phone (573) 996-3667 ext. 1117 · Fax (573) 413-4487
Location 1211001 US-160Harviell, MO 63945 · Phone (573) 804-9561 · Fax (573) 804-9581
Location 13711 Nickey StPoplar Bluff, MO 63901-6544 · Phone (573) 785-7047 ext. 13040 · Fax (573) 413-4192
Location 14109 Plum St Ste ADoniphan, MO 63935-1225 · Phone (573) 351-0150 · Fax (573) 996-2245
Location 15109 Plum St Ste BDoniphan, MO 63935-1225 · Phone (573) 351-0220 · Fax (573) 996-2246
Location 16315 W Mulberry Ste APilot Knob, MO 63663-7883 · Phone (573) 546-0602 · Fax (573) 546-0546
Location 171 Hals Plz Ste APiedmont, MO 63957-1631 · Phone (573) 223-4800 · Fax (573) 223-7911
Location 1861 Highway YEllington, MO 63638-7802 · Phone (573) 663-2525 · Fax (573) 663-7844
Location 19202 Allen StAnnapolis, MO 63620-8778 · Phone (573) 598-4213 · Fax (573) 598-1101
Location 20109 LeRoux StDoniphan, MO 63935-1038 · Phone (573) 996-2136 · Fax (573) 996-5216
Location 21610 N One Mile RdDexter, MO 63841-2539 · Phone (573) 624-3600
Location 22405 Main StreetVan Buren, MO 63965 · Phone (573) 323-4253 · Fax (573) 323-0154
Location 232620 N Westwood BlvdPoplar Bluff, MO 63901-3396 · Phone (573) 785-7721 · Fax (573) 727-2465
Location 243100 Oak Grove RdPoplar Bluff, MO 63901-1573 · Phone (573) 776-2000
Location 25101 E Batten StreetNaylor, MO 63953 · Phone (573) 804-1779 · Fax (573) 804-1789
Location 263277 US Highway 160 WDoniphan, MO 63935-5710 · Phone (573) 804-9527 · Fax (573) 804-9536
Location 2717959 Main StEminence, MO 65466-6375 · Phone (573) 226-5505 · Fax (573) 226-1256
Location 2818 Viburnum Center RdViburnum, MO 65566-7802 · Phone (573) 244-5406 · Fax (573) 244-5591

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bijan Bastaninejad M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Bijan Bastaninejad reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Big Springs Medical Association
Same address
Physiological Laboratory
225 PHYSICIANS PARK STE 104
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 104 clinicians in this Medicare group
NPI 1265395537 (573) 413-4065
Butler Physician Services, LLC
1.6 mi
Internal Medicine
3100 OAK GROVE RD
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 73 clinicians in this Medicare group
NPI 1982056545 (573) 776-2000
Poplar Bluff Regional Medical Center LLC
1.7 mi
General Acute Care Hospital
3100 OAK GROVE RD.
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 5 clinicians in this Medicare group
NPI 1700831724 (573) 686-5311
Poplar Bluff Hma Physician Management, LLC
1.7 mi
Family Medicine
3098 OAK GROVE RD
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 89 clinicians in this Medicare group
NPI 1598710147 (573) 776-2835
St Louis Medical Associates LLC
232 mi
Nephrology
2651 SHELBY ROAD
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 15 clinicians in this Medicare group
NPI 1902500630 (573) 843-8380

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSHMITA THOTA MD
Pediatrics
225 PHYSICIANS PARK STE 304
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
MRS. ELIZABETH ANN L'HEUREUX APRN, FNP-BC, DNP
Nurse Practitioner (Family)
225 PHYSICIANS PARK STE 304
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
MELINDA GAY TAYLOR-TUCKER LCSW
Social Worker (Clinical)
225 PHYSICIANS PARK STE 304
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
CORINNE DURNER FNP-C
Nurse Practitioner (Family)
225 PHYSICIANS PARK STE 304
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
MRS. VIVIAN JEAN CRITES RN, FNP-BC
Nurse Practitioner (Family)
225 PHYSICIANS PARK STE 304
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
CASEY WHEELER LPC
Counselor (Professional)
225 PHYSICIANS PARK STE 304
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
DR. AMBER WHEELER RICHARDSON PHD
Psychologist (Clinical)
225 PHYSICIANS PARK STE 304
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
BIG SPRINGS MEDICAL ASSOCIATION
Clinic/Center (Federally Qualified Health Center (FQHC))
225 PHYSICIANS PARK STE 304
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bijan Bastaninejad's NPI number?

The NPI number for Bijan Bastaninejad is 1972589968. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Bijan Bastaninejad located?

Bijan Bastaninejad practices at 225 Physicians Park Ste 304, Poplar Bluff, MO 63901. The listed phone number is (573) 727-5500.

What is Bijan Bastaninejad's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Bijan Bastaninejad enrolled in Medicare?

Yes. Bijan Bastaninejad is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bijan Bastaninejad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bijan Bastaninejad reassigns Medicare benefits to 5 organizations: Big Springs Medical Association (Poplar Bluff, MO), Butler Physician Services, LLC (Poplar Bluff, MO), Poplar Bluff Regional Medical Center LLC (Poplar Bluff, MO), Poplar Bluff Hma Physician Management, LLC (Poplar Bluff, MO) and St Louis Medical Associates LLC (Poplar Bluff, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bijan Bastaninejad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bijan Bastaninejad accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Bijan Bastaninejad as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bijan Bastaninejad was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.