Individual provider Active NPI

Basiem William Barsoum, MD

  • Interventional Cardiology Physician
  • Apopka, FL
National Provider Identifier
1104099456
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME110311 Issued in FL
Practice address
2100 Ocoee Apopka Rd Ste 120
Apopka, FL 32703-9210
Phone
(078) 889-1930
Fax
(407) 889-1904
NPI assigned
Apr 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME110311 FL
Interventional Cardiology Physician 207RI0011X ME110311 FL Primary

Addresses

Primary practice location

2100 Ocoee Apopka Rd Ste 120
Apopka, FL 32703-9210

Mailing address

2100 Ocoee Apopka Rd Ste 120
Apopka, FL 32703-9210
Phone (078) 889-1930

Other identifiers 1

IdentifierTypeStateIssuer
03847600MedicaidFL

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
I20110718000553 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4880744614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

1613 N Mills Ave
Orlando, FL 32803-1849
Phone (407) 894-4474

2000 Fowler Grove Blvd
Winter Garden, FL 34787-5050

2100 Ocoee Apopka Rd
Apopka, FL 32703-9210

25 S Terry Ave
Suite 320
Orlando, FL 32805-1843
Phone (844) 407-4070

2501 N Orange Ave
Orlando, FL 32804-4641

258 S Chickasaw TRL
Orlando, FL 32825-3501

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

2984 Alafaya TRL
Suite 1000
Oviedo, FL 32765-7628
Phone (407) 894-4474

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570

631 E Altamonte Dr
Suite 231
Altamonte Springs, FL 32701-4802
Phone (407) 303-5214

689 E Altamonte Dr
Altamonte Springs, FL 32701-4801
Phone (407) 894-4474

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting44
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Oct 15, 2018 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 15, 2018 Accepting new patients
Saint Barnabas Heart Center at Hackettstown Cardiovascular Disease Past Accepting new patients

Locations

2100 Ocoee Apopka Rd
Ste 120
Apopka, FL 32703
Phone (407) 303-2200

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1613 N Mills Ave
Orlando, FL 32803
Phone 40789444741145

2415 N Orange Ave
Ste 700
Orlando, FL 32804
Phone (407) 303-2474

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: bbarsoum73806@adventhealth.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1104099456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 OCOEE APOPKA RD STE 120",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327039210",
            "telephone_number": "078-889-1930",
            "fax_number": "407-889-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 OCOEE APOPKA RD STE 120",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327039210",
            "telephone_number": "078-889-1930",
            "fax_number": "407-889-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSOUM",
        "first_name": "BASIEM",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME110311",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME110311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03847600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.