Doctor profile · Federal record
Dr. Bijan Bastaninejad, M.D.
Pediatrics Physician · Emergency Medicine Physician · Pediatrics Physician · Hospitalist Physician · Poplar Bluff, MO
- NPI 1972589968
- 21 yrs on file
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
2620 N Westwood Blvd
Poplar Bluff, MO 639013396
(573) 785-7721
fax (573) 727-2465 - Additional location
-
3100 Oak Grove RD
Poplar Bluff, MO 639011573
(573) 776-2000 - Additional location
-
610 N One Mile RD
Dexter, MO 638412539
(573) 624-3600 - Mailing address
-
Po Box 1308
Poplar Bluff, MO 639021308
Credentials & registration
- NPI registered
- December 2005 — 21 yrs on file
- Profile last updated
- November 7, 2023
- Specialty taxonomy
- 208000000X — NUCC code
- State licenses (3)
- Missouri #2009039681 · New York #237324 · Ohio #35.088489
- Medicaid (4)
- NY #02695054 · MI #4920459 · MI #5202199 · OH #2678446
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1972589968. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$64
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | 1 | $29.87 | |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | 1 | $20.25 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 1 | $13.72 |
By nature of payment
Frequently asked questions
What is Dr. Bijan Bastaninejad's medical specialty?
Dr. Bijan Bastaninejad practices Pediatrics Physician in Poplar Bluff, MO.
Where does Dr. Bijan Bastaninejad practice?
Dr. Bijan Bastaninejad practices at 2620 N Westwood Blvd, Poplar Bluff, MO 639013396. Office phone: 5737857721.
What is Dr. Bijan Bastaninejad's NPI?
Dr. Bijan Bastaninejad's National Provider Identifier (NPI) is 1972589968, issued by NPPES.