Bassam Baroudi, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Gulfport, MS
NPI 1487683231 · NPPES record last updated Oct 19, 2023
Key facts
- NPI
- 1487683231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 15167 (MS)
- Practice address
- 4215 15TH St
Gulfport, MS 39501-2523 - Phone
- (228) 863-5211
- Fax
- (228) 863-4101
- NPI assigned
- Jul 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 61
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital at Gulfport
Practice addresses (Care Compare)
1340 Broad Ave
Gulfport, MS 39501-2460
1340 Broad Ave
Gulfport, MS 39501-2465
1440 Central Ave E
Wiggins, MS 39577-9602
Phone (601) 928-6700
1756 Popps Ferry Rd
Biloxi, MS 39532-2118
4215 15TH St
Gulfport, MS 39501-2523
Phone (228) 863-5211
4500 13TH St
Gulfport, MS 39501-2515
Phone (228) 867-3152
45000 E Aloha Dr
Suite a
Diamondhead, MS 39525-3373
Phone (228) 822-6006
9424 Three Rivers Rd
Gulfport, MS 39503-4248
Hospital & facility affiliations
- Memorial Hospital at Gulfport
- Singing River Gulfport
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 11 |
| Pacemaker insertion or repair | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040902000865 | MS | Practitioner - Cardiovascular Disease (Cardiology) |
9739174236 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast Heart Institute, PLLC | Cardiovascular Disease | Current |
Accepting new patients |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Past | Accepting new patients |
Locations
4500 13th St
#P
Gulfport, MS 39501
Phone (228) 865-3451
15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000
4215 15th St
Gulfport, MS 39501
Phone (228) 863-5211
4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872
4300 15th St
#C
Gulfport, MS 39501
Phone (228) 863-5211
Interoperability endpoints
- bbaroudi@direct.mhg.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 15167 | MS | Yes |
Addresses
Primary practice location
4215 15TH St
Gulfport, MS 39501-2523
Mailing address
PO Box 1810
Gulfport, MS 39502-1810
Phone (228) 863-5211
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00120353 | Medicaid | MS |
Other providers in Gulfport, MS
- Tangular Barnes
- Kasey Barnett
- Lashonda Barnett
- Sabrina V Barnett
- Navin V Barot
- Gerald Steve Barrilleaux
- Kylee Barter
- Amy Bass-Longo
- Rebecca Branton Bass
- Korilyn Celest Baudoin
All providers in Gulfport, MS · Cardiovascular Disease Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.