Individual provider Active NPI

Hussien A Ballout, M.D.

  • Internal Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1376955682
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME131941 Issued in FL
Practice address
1931 19TH PL
Vero Beach, FL 32960-3555
Phone
(321) 387-9451
NPI assigned
May 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME131941 FL Primary

Addresses

Primary practice location

1931 19TH PL
Vero Beach, FL 32960-3555

Mailing address

1931 19TH PL
Vero Beach, FL 32960-3555
Phone (321) 387-9451

Other identifiers 4

IdentifierTypeStateIssuer
JA255YOtherFLMEDICARE PTAN
021027500MedicaidFL
P02091198OtherFLRRMEDICARE PTAN
JA255ZOtherFLMEDICARE

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
I20170802003319 FL Practitioner - HospitalistPractitioner - Internal Medicine 0042504318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Saginaw Valley Medical College - NLG, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ballout International PLLCGroup PAC ID 5890045256, 48 clinicians

Practice addresses (Care Compare)

1931 19TH PL
Vero Beach, FL 32960-3555
Phone (321) 387-9451

Hospital & facility affiliations

  • Health First Home Care Home health agency, Melbourne, FL, CCN 107233
  • Parx Home Health Care Home health agency, Port Saint Lucie, FL, CCN 108106
  • Visiting Nurse Association of Indian River County Inc Home health agency, Vero Beach, FL, CCN 107134
  • Preferred Home Care of Florida Home health agency, Boca Raton, FL, CCN 109668
  • Firstat Nursing Services Home health agency, Winter Park, FL, CCN 108039
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Hospice of Health First Inc Hospice, West Melbourne, FL, CCN 101520
  • St. Francis Hospice Hospice, Titusville, FL, CCN 101534
  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Palm Garden of Vero Beach Nursing home, Vero Beach, FL, CCN 105592
  • Vero Beach Care Center Nursing home, Vero Beach, FL, CCN 105474
  • Sea Breeze Rehab and Nursing Center Nursing home, Vero Beach, FL, CCN 105399
  • Willowbrooke Court at Indian River Estates Nursing home, Vero Beach, FL, CCN 105593
  • Hidden Lakes Senior Living Community Nursing home, Vero Beach, FL, CCN 106097

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ballout International PLLC Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Evolutionary Healthcare Texas PC Internal Medicine CurrentSince Oct 3, 2025 Accepting new patients
Evolutionary Healthcare West Virginia PLLC Internal Medicine Current Accepting new patients
Atlantic Care Acquisition LLC Past Accepting new patients

Locations (25 of 82)

3355 E Semoran Blvd
Apopka, FL 32703
Phone (407) 862-6263

1130 NW 15th St
Boca Raton, FL 33486
Phone (561) 394-6282

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

2302 59th St W
Bradenton, FL 34209
Phone (941) 792-8480

3918 S Kings Ave
Brandon, FL 33511
Phone (813) 661-1535

1100 N Pine St
Clearwater, FL 33756
Phone (727) 442-7106

2055 Palmetto St
Clearwater, FL 33765
Phone (727) 461-6613

1775 Hooks St
Clermont, FL 34711
Phone (352) 717-7980

2901 State Road 50
Clermont, FL 34711
Phone (689) 946-1000

37135 Coleman Ave
Dade City, FL 33525
Phone (352) 567-8615

37300 Royal Oak Ln
Dade City, FL 33525
Phone (352) 567-3122

5430 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3188

870 Patricia Ave
Dunedin, FL 34698
Phone (727) 734-8861

7173 Cypress Dr
Fort Myers, FL 33907
Phone (239) 936-0203

8041 State Road 52
Hudson, FL 34667
Phone (727) 862-9559

5075 Innovation Way
Jupiter, FL 33458
Phone (561) 935-3002

4405 Lakewood Rd
Lake Worth Beach, FL 33461
Phone (561) 630-9321

4240 Lakeland Highlands Rd
Lakeland, FL 33813
Phone (863) 607-5948

3370 NW 47th Ter
Lauderdale Lakes, FL 33319
Phone (954) 733-0655

2680 Croton Rd
Melbourne, FL 32935
Phone (321) 255-4783

251 E Florida Ave
Melbourne, FL 32901
Phone (321) 725-3900

1420 Oak St
Melbourne, FL 32901
Phone (321) 326-2300

3033 Sarno Rd
Melbourne, FL 32934
Phone (321) 243-8593

101 E Florida Ave
Melbourne, FL 32901
Phone (321) 233-4028

1100 S Courtenay Pkwy
Merritt Island, FL 32952
Phone (321) 269-4240

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Life Care Center of Palm BayPalm Bay, FL, CCN 106060 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Aug 1, 2018
Mar 17, 2025
Sea Breeze Rehab and Nursing CenterVero Beach, FL, CCN 105399 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Sep 1, 2022
May 5, 2025
Vero Beach Care CenterVero Beach, FL, CCN 105474 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Sep 1, 2022
Apr 30, 2026
Harborview Health Center MelbourneMelbourne, FL, CCN 105861 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Jul 15, 2024
Jul 15, 2024
Jul 15, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1376955682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 19TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603555",
            "telephone_number": "321-387-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 19TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603555",
            "telephone_number": "321-387-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLOUT",
        "first_name": "HUSSIEN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-21",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME131941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "JA255Y",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021027500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE PTAN",
            "identifier": "P02091198",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "JA255Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.