AYESHA TABASSOM
NPI 1033558630
Emergency Medicine in Daytona Beach, FL

Active since June 18, 2013PECOS Enrolled
91.32/100
CMS Quality Rating
222 S PENINSULA DR, DAYTONA BEACH, FL 32118(386) 310-2160(386) 310-2106 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 12, 2025, Aug 25, 2023, Mar 20, 2023 (3 updates tracked since 2023).

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

NPI1033558630
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameAYESHA TABASSOM
Location Address222 S PENINSULA DRDaytona Beach, FL 32118-4422
Mailing Address222 S Peninsula DrDaytona Beach, FL 32118-4422 · (386) 310-2160 · Fax (386) 310-2106
Fax(386) 310-2106
Sole ProprietorYes
Enumeration DateJune 18, 2013
Last NPPES UpdateMarch 12, 20253 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
NPI 1033558630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in FL · ME166083 Licensed in LA · 312453
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 312453 (LA)
222 S PENINSULA DR, Daytona Beach, FL 32118

Secondary Practice Locations 2

Location 11400 Coleman AveMacon, GA 31207-0001 · Phone (478) 301-2604
Location 21541 Kings HwyShreveport, LA 71103-4228 · Phone (318) 626-0000 · Fax (318) 629-4833

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ayesha Tabassom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
326 services320 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
190 services176 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
91 services89 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services18 patients

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.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

91.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.15
Improvement Activities40
Cost100

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.

Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Physician Assistant
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Physician Assistant
222 S PENINSULA DR
DAYTONA BEACH, FL 32118

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.

When was this NPI record last updated?

The NPPES record for Ayesha Tabassom was last updated on March 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.