BASSAM SOUFAN MD
NPI 1356451546
Family Medicine in Rockford, IL
About Bassam Soufan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BASSAM SOUFAN MD (NPI 1356451546) is an individual family medicine provider in Rockford, Illinois, licensed in Illinois (036077791) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Javon Bea Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bassam Soufan 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.
Medicare Billing Reassignments
3Medicare enrollment records show Bassam Soufan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rockford, IL 61114
- Reassigned Medicare billing, Illinois enrollment
- 1,375 clinicians in this Medicare group
Harvard, IL 60033
- Reassigned Medicare billing, Illinois enrollment
- 382 clinicians in this Medicare group
Janesville, WI 53548
- Reassigned Medicare billing, Illinois enrollment
- 671 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Javon Bea Hospital
Acute Care Hospitals · Rockford, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ROCKFORD, IL 61114
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 Bassam Soufan's NPI number?
The NPI number for Bassam Soufan is 1356451546. It was assigned to this individual provider in the NPPES registry on August 30, 2006.
Where is Bassam Soufan located?
Bassam Soufan practices at 3401 N Perryville Rd, Rockford, IL 61114. The listed phone number is (815) 971-2000.
What is Bassam Soufan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Bassam Soufan enrolled in Medicare?
Yes. Bassam Soufan 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.
Which organizations bill Medicare for Bassam Soufan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bassam Soufan reassigns Medicare benefits to 3 organizations: Rockford Health Physicians (Rockford, IL), Mercy Harvard Hospital Inc (Harvard, IL) and Mercy Health System Corporation (Janesville, WI). 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 Bassam Soufan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bassam Soufan accept?
Health plans from Anthem Blue Cross and Blue Shield list Bassam Soufan 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 Bassam Soufan affiliated with any hospitals?
According to CMS data, Bassam Soufan is affiliated with Javon Bea Hospital.
When was this NPI record last updated?
The NPPES record for Bassam Soufan was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Bassam Soufan, MD · NPI 1356451546
Family Medicine physician in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1356451546 (Entity type: Individual)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036077791 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 N PERRYVILLE RD, Rockford, IL 61114-8011
- **Phone:** (815) 971-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Rockford Health Physicians (NPI 1043242886, Rockford, IL); Mercy Harvard Hospital Inc (NPI 1427001445, Harvard, IL); Mercy Health System Corporation (NPI 1598718603, Janesville, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1978
## Record status
- **NPPES last updated:** April 22, 2026
- **Other identifiers:** Medicaid 036077791 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1356451546) · Data from the CMS NPPES public registry.