Individual provider Active NPI

Katsiaryna Serheeuna Huseva Bailor, MD

  • Otolaryngology Physician
  • Oklahoma City, OK
National Provider Identifier
1982861308
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME123799 Issued in FL
Practice address
249 NW 34TH St
Oklahoma City, OK 73118-8615
Phone
(543) 838-5499
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X ME123799 FL
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X ME123799 FL
Otolaryngology Physician 207Y00000X ME123799 FL Primary

Addresses

Primary practice location

249 NW 34TH St
Oklahoma City, OK 73118-8615

Mailing address

249 NW 34TH St
Oklahoma City, OK 73118-8615
Phone (954) 383-8549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20151002001587 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Otolaryngology 0143447490 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME123799FLMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aqua Dermatology of Florida, PA CurrentSince Jan 17, 2022 Accepting new patients
Marc E Lieberman MD LLC Otolaryngology/Facial Plastic Surgery CurrentSince Sep 30, 2020 Accepting new patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Jan 17, 2022 Accepting new patients

Locations

3659 S Miami Ave
Ste 6008
Miami, FL 33133
Phone (305) 854-5432

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

14840 Tamiami Trl
North Port, FL 34287
Phone (941) 564-1542

15310 Amberly Dr
Ste 150
Tampa, FL 33647
Phone (813) 978-8888

1600 36th St
Ste A
Vero Beach, FL 32960
Phone (772) 564-1799

38162 Medical Center Ave
Zephyrhills, FL 33540
Phone (813) 782-2165

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIJFBA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1982861308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 NW 34TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731188615",
            "telephone_number": "954-383-8549",
            "fax_number": "543-838-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 NW 34TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731188615",
            "telephone_number": "543-838-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSEVA BAILOR",
        "first_name": "KATSIARYNA",
        "middle_name": "SERHEEUNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "FL",
            "license": "ME123799",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "FL",
            "license": "ME123799",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME123799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.