BASSAM SOUFAN MD
NPI 1356451546
Family Medicine in Rockford, IL

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
3401 N PERRYVILLE RD, ROCKFORD, IL 61114(815) 971-2000 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1356451546
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBASSAM SOUFANCredential: MD
Location Address3401 N PERRYVILLE RDRockford, IL 61114-8011
Mailing Address29624 Network PlChicago, IL 60673-1296 · (608) 756-6278
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateAugust 30, 2006
Last NPPES UpdateApril 22, 2026
NPPES CertifiedApril 22, 2026
NPI 1356451546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036077791
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License 036077791 (IL)
3401 N PERRYVILLE RD, Rockford, IL 61114

Secondary Practice Locations 2

Location 1901 Grant StHarvard, IL 60033-1821 · Phone (815) 943-5431
Location 2875 S Route 31Crystal Lake, IL 60014-8190 · Phone (779) 220-5500

Other Identifiers 1

Medicaid036077791IL

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 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.

PECOS PAC ID4981668639
PECOS Enrollment IDI20041115000690
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
137 services127 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.
82 services76 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
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

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, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140239
Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County
Emergency services Birthing friendly

Physician 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.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

Hospitalist
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Family Medicine
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Nurse Practitioner (Adult Health)
3401 N PERRYVILLE RD, SUITE 303
ROCKFORD, IL 61114
Physical Therapist
3401 N PERRYVILLE RD, PHYSICAL THERAPY DEPT
ROCKFORD, IL 61114
Otolaryngology
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Nurse Practitioner
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Phlebology
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Nurse Practitioner (Family)
3401 N PERRYVILLE RD
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.

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 with the weekly NPPES data releases published by CMS.