Individual provider Active NPI

Basheer Elsolh, MD MPH FRCSC

  • Surgical Oncology Physician
  • Daytona Beach, FL
National Provider Identifier
1558045369
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
ME171420 Issued in FL
Practice address
311 N Clyde Morris Blvd Ste 500
Daytona Beach, FL 32114-2768
Phone
(386) 241-1081
Fax
(352) 627-4820
NPI assigned
Jun 12, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME171420 FL
Surgical Oncology Physician 2086X0206X ME171420 FL Primary

Addresses

Primary practice location

311 N Clyde Morris Blvd Ste 500
Daytona Beach, FL 32114-2768

Mailing address

311 N Clyde Morris Blvd Ste 500
Daytona Beach, FL 32114-2768
Phone (386) 241-1081

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
I20250923001389 FL Practitioner - Surgical Oncology 6709244692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
Queen'S School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Clinical Practice Association IncGroup PAC ID 0345146254, 1,886 clinicians

Practice addresses (Care Compare)

1041 Dunlawon Ave
Port Orange, FL 32127-7968
Phone (386) 425-4700

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

303 N Clyde Morris Blvd
Halifax Health
Daytona Beach, FL 32114-2709
Phone (386) 425-4000

311 N Clyde Morris Blvd
500 Uf Health Plastic Surgery and Aesthetic
Daytona Beach, FL 32114-2768
Phone (386) 425-2639

Hospital & facility affiliations

  • Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME171420FLMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Aug 15, 2025 Accepting new patients
Florida Clinical Practice Association Inc Surgery CurrentSince Aug 15, 2025 Accepting new patients

Locations

311 N Clyde Morris Blvd
Ste 500
Daytona Beach, FL 32114
Phone (386) 252-9656

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: belsolh804997@direct.shands.ufl.edu

Organizations & group practices 2

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 1

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": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1558045369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N CLYDE MORRIS BLVD STE 500",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142768",
            "telephone_number": "386-241-1081",
            "fax_number": "352-627-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N CLYDE MORRIS BLVD STE 500",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142768",
            "telephone_number": "386-241-1081",
            "fax_number": "352-627-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSOLH",
        "first_name": "BASHEER",
        "name_prefix": "Dr.",
        "credential": "MD MPH FRCSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME171420",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "FL",
            "license": "ME171420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.