Bijan Bastaninejad, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2009039681 Issued in MO

Practice address

225 Physicians Park Ste 304
Poplar Bluff, MO 63901-3930

Phone

(573) 727-5500

Fax

(573) 399-2646

NPI assigned

Dec 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bijan.bastaninejad.1@14422.direct.athenahealth.com
• Direct secure messaging: bijan.bastaninejad.1@8825.direct.athenahealth.com
• Direct secure messaging: bbastaninejad15168@enloedirect.org
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Big Springs Medical Association

  • Federally Qualified Health Center (FQHC)
  • Van Buren, MO
  • NPI 1225045321
  Medicare reassignment NPD
• Butler Physician Services, LLC

  • Internal Medicine Physician
  • Poplar Bluff, MO
  • NPI 1982056545

  Pediatrics

  Medicare reassignment NPD
• Poplar Bluff Regional Medical Center, LLC

  • Family Medicine Physician
  • Puxico, MO
  • NPI 1750797775
  Medicare reassignment NPD
• St Louis Medical Associates LLC

  • Nephrology Physician
  • Poplar Bluff, MO
  • NPI 1902500630
  Medicare reassignment NPD
• Poplar Bluff Hma Physician Management, LLC

  • Family Medicine Physician
  • Poplar Bluff, MO
  • NPI 1598710147
  Medicare reassignment
• Big Springs Medical Association

  • Federally Qualified Health Center (FQHC)
  • Annapolis, MO
  • NPI 1225131501
  NPD
• Big Springs Medical Association

  • Federally Qualified Health Center (FQHC)
  • Poplar Bluff, MO
  • NPI 1972466233
  NPD
• Community Urgent Care LLC

  • Urgent Care Clinic/Center
  • Poplar Bluff, MO
  • NPI 1346094711
  NPD
• Big Springs Medical Association

  • Federally Qualified Health Center (FQHC)
  • Poplar Bluff, MO
  • NPI 1295820348
  NPD (past)
• Poplar Bluff Regional Medical Center LLC

  • Rural Health Clinic/Center
  • Malden, MO
  • NPI 1801839147
  NPD (past)
• Island Emergency Medical Services, P.C.

  • Emergency Medicine Physician
  • Far Rockaway, NY
  • NPI 1639160385
  NPD (past)
• Promedica Children'S Specialists

  • Pediatrics Physician
  • Toledo, OH
  • NPI 1245444959
  NPD (past)

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1972589968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 2ND ST",
            "city": "ELLINGTON",
            "state": "MO",
            "postal_code": "636389400",
            "telephone_number": "573-663-2313",
            "fax_number": "573-663-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 PHYSICIANS PARK STE 304",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013930",
            "telephone_number": "573-727-5500",
            "fax_number": "573-399-2646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 N One Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Dexter",
            "state": "MO",
            "postal_code": "638412539",
            "country_code": "US",
            "telephone_number": "573-624-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3277 US Highway 160 W",
            "address_purpose": "LOCATION",
            "city": "Doniphan",
            "state": "MO",
            "postal_code": "639355710",
            "country_code": "US",
            "telephone_number": "573-804-9527",
            "fax_number": "573-804-9536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 Nickey St",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639016544",
            "country_code": "US",
            "telephone_number": "573-785-7047 x13040",
            "fax_number": "573-413-4192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 E Summit St",
            "address_purpose": "LOCATION",
            "city": "Doniphan",
            "state": "MO",
            "postal_code": "639351142",
            "country_code": "US",
            "telephone_number": "573-996-3667 x1117",
            "fax_number": "573-413-4487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Physicians Park Ste 104",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639013918",
            "country_code": "US",
            "telephone_number": "573-413-4065",
            "fax_number": "573-354-5013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2210 Barron Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639011922",
            "country_code": "US",
            "telephone_number": "573-785-6536",
            "fax_number": "573-785-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Physicians Park Ste 200",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639013921",
            "country_code": "US",
            "telephone_number": "573-727-5500 x5",
            "fax_number": "573-313-3684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 East Broad Street",
            "address_purpose": "LOCATION",
            "city": "Naylor",
            "state": "MO",
            "postal_code": "63953",
            "country_code": "US",
            "telephone_number": "573-399-2311",
            "fax_number": "573-399-2076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Physicians Park Ste 102",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639013918",
            "country_code": "US",
            "telephone_number": "573-727-5500 x2",
            "fax_number": "573-413-4609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2879 James Blvd",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639013395",
            "country_code": "US",
            "telephone_number": "573-609-8800",
            "fax_number": "573-776-6124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Plum St Ste A",
            "address_purpose": "LOCATION",
            "city": "Doniphan",
            "state": "MO",
            "postal_code": "639351225",
            "country_code": "US",
            "telephone_number": "573-351-0150",
            "fax_number": "573-996-2245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Plum St Ste B",
            "address_purpose": "LOCATION",
            "city": "Doniphan",
            "state": "MO",
            "postal_code": "639351225",
            "country_code": "US",
            "telephone_number": "573-351-0220",
            "fax_number": "573-996-2246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 W Mulberry Ste A",
            "address_purpose": "LOCATION",
            "city": "Pilot Knob",
            "state": "MO",
            "postal_code": "636637883",
            "country_code": "US",
            "telephone_number": "573-546-0602",
            "fax_number": "573-546-0546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hals Plz Ste A",
            "address_purpose": "LOCATION",
            "city": "Piedmont",
            "state": "MO",
            "postal_code": "639571631",
            "country_code": "US",
            "telephone_number": "573-223-4800",
            "fax_number": "573-223-7911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "61 Highway Y",
            "address_purpose": "LOCATION",
            "city": "Ellington",
            "state": "MO",
            "postal_code": "636387802",
            "country_code": "US",
            "telephone_number": "573-663-2525",
            "fax_number": "573-663-7844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Allen St",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MO",
            "postal_code": "636208778",
            "country_code": "US",
            "telephone_number": "573-598-4213",
            "fax_number": "573-598-1101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 LeRoux St",
            "address_purpose": "LOCATION",
            "city": "Doniphan",
            "state": "MO",
            "postal_code": "639351038",
            "country_code": "US",
            "telephone_number": "573-996-2136",
            "fax_number": "573-996-5216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17959 Main St",
            "address_purpose": "LOCATION",
            "city": "Eminence",
            "state": "MO",
            "postal_code": "654666375",
            "country_code": "US",
            "telephone_number": "573-226-5505",
            "fax_number": "573-226-1256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Main Street",
            "address_purpose": "LOCATION",
            "city": "Van Buren",
            "state": "MO",
            "postal_code": "63965",
            "country_code": "US",
            "telephone_number": "573-323-4253",
            "fax_number": "573-323-0154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2620 N Westwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639013396",
            "country_code": "US",
            "telephone_number": "573-785-7721",
            "fax_number": "573-727-2465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Oak Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639011573",
            "country_code": "US",
            "telephone_number": "573-776-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E Batten Street",
            "address_purpose": "LOCATION",
            "city": "Naylor",
            "state": "MO",
            "postal_code": "63953",
            "country_code": "US",
            "telephone_number": "573-804-1779",
            "fax_number": "573-804-1789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Viburnum Center Rd",
            "address_purpose": "LOCATION",
            "city": "Viburnum",
            "state": "MO",
            "postal_code": "655667802",
            "country_code": "US",
            "telephone_number": "573-244-5406",
            "fax_number": "573-244-5591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2879 James Blvd",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639013395",
            "country_code": "US",
            "telephone_number": "573-712-1610",
            "fax_number": "573-776-6124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Baugh Ln",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639012402",
            "country_code": "US",
            "telephone_number": "573-785-3037 x16044",
            "fax_number": "573-413-4506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "289 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Neelyville",
            "state": "MO",
            "postal_code": "639547176",
            "country_code": "US",
            "telephone_number": "573-804-9494",
            "fax_number": "573-804-9493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Victory Ln",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639013300",
            "country_code": "US",
            "telephone_number": "573-785-5566 x17097",
            "fax_number": "573-413-4194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3001 Warrior Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639018685",
            "country_code": "US",
            "telephone_number": "573-785-7453",
            "fax_number": "573-785-7429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11001 US-160",
            "address_purpose": "LOCATION",
            "city": "Harviell",
            "state": "MO",
            "postal_code": "63945",
            "country_code": "US",
            "telephone_number": "573-804-9561",
            "fax_number": "573-804-9581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Plum St Ste C",
            "address_purpose": "LOCATION",
            "city": "Doniphan",
            "state": "MO",
            "postal_code": "639351225",
            "country_code": "US",
            "telephone_number": "573-351-0150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASTANINEJAD",
        "first_name": "BIJAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2009039681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magen Barnes
• Cassie C Barnett, PT
• Savannah Sue-Ann Barnett
• Craig M Barwick, MSW, LCSW
• Stephanie Michelle Bass, ATC/R
• Jonathan Richard Bates
• Miranda Lee Bates, OTR/L
• Jill Baugh, PT
• Jacob N Baugus, LCSW
• Hannah Marie Baxter

• Pediatrics Physician in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.