BASSAM N. SHUKRALLAH MD
NPI 1205977634
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Little Rock, AR

Q: What is Bassam Shukrallah's NPI number?

The NPI number for Bassam Shukrallah is 1205977634. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Q: What is Bassam Shukrallah's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Bassam Shukrallah was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since February 09, 2007PECOS EnrolledAccepts Medicare Assignment

9601 BAPTIST HEALTH DR STE 200, LITTLE ROCK, AR 72205(501) 223-2860(501) 223-2258 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2023, Mar 11, 2021, Aug 2, 2018 and 3 more (6 updates tracked since 2016).

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About Bassam N. Shukrallah Md NPPES

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

BASSAM N. SHUKRALLAH MD (NPI 1205977634) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Little Rock, Arkansas, licensed in Arkansas (E-16164) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Little Rock, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1205977634

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameBASSAM N. SHUKRALLAHCredential: MD

Location Address9601 BAPTIST HEALTH DR STE 200Little Rock, AR 72205-6342

Mailing Address11001 Executive Center Dr Ste 200Little Rock, AR 72211-4393 · (501) 812-7800 · Fax (501) 812-7777

Phone(501) 223-2860

Fax(501) 223-2258

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateFebruary 9, 2007

Last NPPES UpdateAugust 25, 20256 updates tracked since enumeration

NPPES CertifiedAugust 25, 2025

✔ NPI 1205977634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in AR · E-16164

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

9601 BAPTIST HEALTH DR STE 200, Little Rock, AR 72205

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Secondary Practice Location 1

Location 14301 W Markham St # 713Little Rock, AR 72205-7101 · Phone (501) 686-8000 · Fax (501) 526-5148

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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

Bassam N. Shukrallah Md 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 ID5496996761

PECOS Enrollment IDI20230216001914

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 2

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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

$157.74 typical visit price

range $51.36 – $157.74

Typical copayment $39.43 (range $12.84 – $39.43)

Most-billed visit code 99205

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

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 9

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

MRS. JENNIFER BROOKE GREENO-FLETCHER APRN

Nurse Practitioner (Acute Care)