Taylor Bahoora
NPI 1104632413ActiveIndividual· Physician Assistant· Detroit, MI
Physician Assistant in Detroit, Michigan, trained at Wayne State University School of Medicine (class of 2025). Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1104632413 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 10, 2024 |
| Last updated in NPPES | Aug 19, 2025 |
| Certified by provider | Aug 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MI) |
|---|
Education and affiliations
| Medical school | Wayne State University School of Medicine |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Iha Health Services CorporationPontiac, MI · 1,168 clinicians
- Care Family Medicine Center PLLCCommerce Township, MI · 4 clinicians
Hospital affiliations
- Trinity Health Ann Arbor HospitalAnn Arbor, MI
- Trinity Health Oakland HospitalPontiac, MI
Other facilities
- Reliable Home Health Patient Care CoHome health agency · Farmington Hills, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 385 physician assistants in Detroit · All physician assistants in Michigan