DR. BASSEM MAZLOUM M.D.
NPI 1154374742
Specialist in San Antonio, TX

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
77.36/100
CMS Quality Rating
8550 DATAPOINT DR, SUITE 200, SAN ANTONIO, TX 78229(210) 615-8308(210) 615-8313 Get Directions Write a Review

NPPES record last updated: October 29, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bassem Mazloum M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BASSEM MAZLOUM M.D. (NPI 1154374742) is an individual specialist in San Antonio, Texas, licensed in Texas (J3156) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Val Verde Regional Medical Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1154374742
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. BASSEM MAZLOUMCredential: M.D.
Location Address8550 DATAPOINT DR, SUITE 200San Antonio, TX 78229-3270
Mailing Address8550 Datapoint Dr, Suite 200San Antonio, TX 78229-3270 · (210) 615-8308 · Fax (210) 615-8313
Fax(210) 615-8313
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMay 18, 2006
Last NPPES UpdateOctober 29, 2015
NPI 1154374742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TX · J3156
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
8550 DATAPOINT DR, San Antonio, TX 78229

Other Identifiers 3

Medicare PIN00Y589TX
Medicaid135784008TX
Medicare UPINF92409TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Bassem Mazloum M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517940257
PECOS Enrollment IDI20040611001197
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 19

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
314 services206 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
308 services43 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
306 services104 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
170 services43 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
78 services75 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
67 services64 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Val Verde Regional Medical Center

Acute Care Hospitals · Del Rio, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450154
Location801 Bedell AveDel Rio, TX 78840 · Val Verde County
Emergency services

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Uvalde Memorial Hospital

Critical Access Hospitals · Uvalde, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451387
Location1025 Garner Field RoadUvalde, TX 78801 · Uvalde County
Emergency services

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.

77.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.42
Promoting Interoperability87
Improvement Activities40
Cost60.96

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
8550 DATAPOINT DR, SUITE 100
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
8550 DATAPOINT DR, SUITE 200
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
8550 DATAPOINT DR, SUITE 200
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
8550 DATAPOINT DR, SUITE 200
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
8550 DATAPOINT DR, SUITE 200
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
8550 DATAPOINT DR, SUITE 200
SAN ANTONIO, TX 78229
Nurse Practitioner
8550 DATAPOINT DR
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
8550 DATAPOINT DR, SUITE 200
SAN ANTONIO, TX 78229

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 Bassem Mazloum's NPI number?

The NPI number for Bassem Mazloum is 1154374742. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Bassem Mazloum located?

Bassem Mazloum practices at 8550 Datapoint Dr Suite 200, San Antonio, TX 78229. The listed phone number is (210) 615-8308.

What is Bassem Mazloum's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Bassem Mazloum enrolled in Medicare?

Yes. Bassem Mazloum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bassem Mazloum accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Bassem Mazloum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bassem Mazloum affiliated with any hospitals?

According to CMS data, Bassem Mazloum is affiliated with Val Verde Regional Medical Center, Methodist Hospital and Uvalde Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Bassem Mazloum was last updated on October 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.