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

Q: 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.

Q: What is Bijan Bastaninejad's specialty?

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

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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 3 additional practice locations.

NPPES Registry Identity

NPI1972589968

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameBIJAN BASTANINEJADCredential: M.D.

Location Address2879 JAMES BLVDPoplar Bluff, MO 63901-3395

Mailing Address110 S 2nd StEllington, MO 63638-9400 · (573) 663-2313 · Fax (573) 663-2441

Phone(573) 712-1610

Fax(573) 776-6124

Sole ProprietorNo

Enumeration DateDecember 21, 2005

Last NPPES UpdateJune 17, 20263 updates tracked since enumeration

NPPES CertifiedJune 17, 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.

2879 JAMES BLVD, Poplar Bluff, MO 63901

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Secondary Practice Locations 3

Location 1610 N One Mile RdDexter, MO 63841-2539 · Phone (573) 624-3600

Location 22620 N Westwood BlvdPoplar Bluff, MO 63901-3396 · Phone (573) 785-7721 · Fax (573) 727-2465

Location 33100 Oak Grove RdPoplar Bluff, MO 63901-1573 · Phone (573) 776-2000

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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 6

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

SUSHMITA THOTA MD

Pediatrics