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HISHAM IBRAHIM BASSIOUNI PAC
NPI 1205883105
Physician Assistant in Myrtle Beach, SC

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
5046 HIGHWAY 17 BYP S STE 103, MYRTLE BEACH, SC 29588(843) 668-4104 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2025, Aug 9, 2021 (2 updates tracked since 2021).

About Hisham Ibrahim Bassiouni Pac NPPES

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

HISHAM IBRAHIM BASSIOUNI PAC (NPI 1205883105) is an individual physician assistant in Myrtle Beach, South Carolina, licensed in South Carolina (PA3422) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1205883105
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameHISHAM IBRAHIM BASSIOUNICredential: PAC
Location Address5046 HIGHWAY 17 BYP S STE 103Myrtle Beach, SC 29588-4503
Mailing Address5046 Highway 17 Byp S Ste 103Myrtle Beach, SC 29588-4503 · (843) 668-4104
Phone(843) 668-4104
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 27, 2006
Last NPPES UpdateApril 8, 20252 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1205883105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in SC · PA3422✔ Licensed in OH · 50001725
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5046 HIGHWAY 17 BYP S STE 103, Myrtle Beach, SC 29588
Open in Google Maps ↗

Other Identifiers 1

OtherP00385946Rr Erie

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, First Choice Next and more.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

Hisham Ibrahim Bassiouni Pac 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 ID244248771
PECOS Enrollment IDI20200330002388, I20240507002397
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 10

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.
100 services100 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
98 services49 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.
64 services64 patients
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.
56 services56 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
46 services46 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
35 services35 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29588 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

MR. CHRISTOPHER FRANCIS BUTHORN RPA-C
Physician Assistant (Surgical)
5046 HIGHWAY 17 BYP S STE 103
MYRTLE BEACH, SC 29588
Horry County (843) 668-4104
MR. MATTHEW JANOWICZ
Physician Assistant
5046 HIGHWAY 17 BYP S STE 103
MYRTLE BEACH, SC 29588
Horry County (843) 668-4104
ASHLEY G PARKER FNP
Nurse Practitioner (Family)
5046 HIGHWAY 17 BYP S STE 103
MYRTLE BEACH, SC 29588
Horry County (843) 668-4104

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 Hisham Bassiouni's NPI number?

The NPI number for Hisham Bassiouni is 1205883105. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Hisham Bassiouni located?

Hisham Bassiouni practices at 5046 Highway 17 Byp S Ste 103, Myrtle Beach, SC 29588. The listed phone number is (843) 668-4104.

What is Hisham Bassiouni's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Hisham Bassiouni enrolled in Medicare?

Yes. Hisham Bassiouni 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 Hisham Bassiouni accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, First Choice Next, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Hisham Bassiouni 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 Hisham Bassiouni affiliated with any hospitals?

According to CMS data, Hisham Bassiouni is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Hisham Bassiouni was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.