AYESHA TABASSOM
NPI 1033558630
Emergency Medicine in Daytona Beach, FL
About Ayesha Tabassom NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AYESHA TABASSOM (NPI 1033558630) is an individual emergency medicine provider in Daytona Beach, Florida, licensed in Florida (ME166083) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ayesha Tabassom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Ayesha Tabassom reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Deland, FL 32720
- Reassigned Medicare billing, Florida enrollment
- 103 clinicians in this Medicare group
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 1,167 clinicians in this Medicare group
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 104 clinicians in this Medicare group
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 2,397 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ayesha Tabassom's NPI number?
The NPI number for Ayesha Tabassom is 1033558630. It was assigned to this individual provider in the NPPES registry on June 18, 2013.
Where is Ayesha Tabassom located?
Ayesha Tabassom practices at 222 S Peninsula Dr, Daytona Beach, FL 32118. The listed phone number is (386) 310-2160.
What is Ayesha Tabassom's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Ayesha Tabassom enrolled in Medicare?
Yes. Ayesha Tabassom is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ayesha Tabassom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ayesha Tabassom reassigns Medicare benefits to 4 organizations: Emergency Medicine Professionals PA (Deland, FL), Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA), Cross Lake Emergency Group, LLC (Shreveport, LA) and University Of Texas Health Science Center At San Antonio (San Antonio, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ayesha Tabassom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ayesha Tabassom was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ayesha Tabassom · NPI 1033558630
Emergency Medicine physician in Daytona Beach, Florida. Individual provider, active in the CMS NPPES registry since June 18, 2013.
## Identity
- **NPI:** 1033558630 (Entity type: Individual)
- **Enumerated:** June 18, 2013
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** ME166083 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 222 S PENINSULA DR, Daytona Beach, FL 32118-4422
- **Phone:** (386) 310-2160 · **Fax:** (386) 310-2106
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Emergency Medicine Professionals PA (NPI 1205880853, Deland, FL); Lsu Health Sciences Center Shreveport Faculty Group Practice (NPI 1013374222, Shreveport, LA); Cross Lake Emergency Group, LLC (NPI 1013497114, Shreveport, LA); University Of Texas Health Science Center At San Antonio (NPI 1396717989, San Antonio, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033558630) · Data from the CMS NPPES public registry.