Individual provider Active NPI

Bailey E Tayebi, M.D., M.B.A.

  • MOHS-Micrographic Surgery Physician
  • Carmel, IN
National Provider Identifier
1528359668
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
01077179A Issued in IN
Practice address
755 W Carmel Dr Ste 101
Carmel, IN 46032-5875
Phone
(317) 846-2396
Fax
(317) 846-1699
NPI assigned
Apr 25, 2011
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 01077179A IN
MOHS-Micrographic Surgery Physician 207ND0101X 01077179A IN Primary

Addresses

Primary practice location

755 W Carmel Dr Ste 101
Carmel, IN 46032-5875

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

8325 S Emerson Ave Ste C1
Indianapolis, IN 46237-8559
Phone (317) 780-7400

Other practice location 2

2130 W Sycamore St Ste 200
Kokomo, IN 46901-6461
Phone (765) 457-4455

Other practice location 3

4020 New Vision Dr
Fort Wayne, IN 46845-1737
Phone (260) 423-2567

Other practice location 4

17471 Wheeler Rd Ste 114
Westfield, IN 46074-6903
Phone (317) 912-1377

Other practice location 5

6320 N College Ave
Indianapolis, IN 46220-1706
Phone (317) 348-3160

Other names 1

  • Bailey E Myers Former name

Electronic endpoints 6

TypeEndpointUseAffiliation
Direct Messaging Address Bailey.Tayebi@forefrontdermatology.emadirect.md
Direct Messaging Address Bailey.Tayebi@forefrontdermatology.emadirect.md
Direct Messaging Address Bailey.Tayebi@forefrontdermatology.emadirect.md
Direct Messaging Address Bailey.Tayebi@forefrontdermatology.emadirect.md
Direct Messaging Address Bailey.Tayebi@forefrontdermatology.emadirect.md
Direct Messaging Address Bailey.Tayebi@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150713002453 AL Practitioner - Dermatology 6103139639 Practice locations: Birmingham, AL
I20160817000840 IN Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 6103139639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Indiana University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

755 W Carmel Dr
Suite 101
Carmel, IN 46032-5875
Phone (317) 846-2396

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision62
Removal of skin lesions131
Removal of skin cancer564
Removal or shaving of skin growth38
Skin biopsy61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Oct 3, 2016 Accepting new patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Oct 3, 2016 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients
Skin Diagnostics Group, PC Past Accepting new patients

Locations

755 W Carmel Dr
Ste 101
Carmel, IN 46032
Phone (317) 814-1104

7516 Eagle Crest Blvd
Ste D
Evansville, IN 47715
Phone (812) 401-8999

4020 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 423-2567

6320 N College Ave
Indianapolis, IN 46220
Phone (317) 348-3160

8325 S Emerson Ave
Ste C1
Indianapolis, IN 46237
Phone (317) 780-7400

2130 W Sycamore St
Ste 200
Kokomo, IN 46901
Phone (765) 457-4455

303 S Walnut St
Seymour, IN 47274
Phone (812) 358-7705

17471 Wheeler Rd
Ste 114
Westfield, IN 46074
Phone (317) 275-6131

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: bailey.tayebi@forefrontdermatology.emadirect.md

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1528359668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 W CARMEL DR STE 101",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325875",
            "telephone_number": "317-846-2396",
            "fax_number": "317-846-1699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8325 S Emerson Ave Ste C1",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462378559",
            "country_code": "US",
            "telephone_number": "317-780-7400",
            "fax_number": "317-859-8181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 W Sycamore St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469016461",
            "country_code": "US",
            "telephone_number": "765-457-4455",
            "fax_number": "765-457-0056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4020 New Vision Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451737",
            "country_code": "US",
            "telephone_number": "260-423-2567",
            "fax_number": "260-420-2415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17471 Wheeler Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "IN",
            "postal_code": "460746903",
            "country_code": "US",
            "telephone_number": "317-912-1377",
            "fax_number": "317-489-5830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6320 N College Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462201706",
            "country_code": "US",
            "telephone_number": "317-348-3160",
            "fax_number": "317-497-3739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYEBI",
        "first_name": "BAILEY",
        "middle_name": "E",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01077179A",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IN",
            "license": "01077179A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bailey.Tayebi@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "8325 S Emerson Ave Ste C1",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462378559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bailey.Tayebi@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "4020 New Vision Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bailey.Tayebi@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "17471 Wheeler Rd Ste 114",
            "city": "Westfield",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460746903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bailey.Tayebi@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "6320 N College Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462201706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bailey.Tayebi@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2130 W Sycamore St Ste 200",
            "city": "Kokomo",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469016461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bailey.Tayebi@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "755 W Carmel Dr Ste 101",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460325875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BAILEY",
            "last_name": "MYERS",
            "middle_name": "E",
            "credential": "M.D., M.B.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.