BASSEM KOLEILAT MD
NPI 1578680831
Hospitalist in Daytona Beach, FL
About Bassem Koleilat Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BASSEM KOLEILAT MD (NPI 1578680831) is an individual hospitalist provider in Daytona Beach, Florida, licensed in Florida (ME102911) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Deaconess Henderson Hospital, and maintains a secondary practice location in Louisville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Bassem Koleilat 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
13Medicare enrollment records show Bassem Koleilat reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Daytona Beach, FL 32114
- Reassigned Medicare billing, Florida enrollment
- 786 clinicians in this Medicare group
Orlando, FL 32819
- Reassigned Medicare billing, Florida enrollment
- 22 clinicians in this Medicare group
Oak Ridge, TN 37830
- Reassigned Medicare billing, Kentucky enrollment
- 358 clinicians in this Medicare group
Louisville, KY 40207
- Reassigned Medicare billing, Kentucky enrollment
- Medicare enrollment name: University Of Louisville Physicians Inc
- 2,337 clinicians in this Medicare group
Owensboro, KY 42303
- Reassigned Medicare billing, Kentucky and Indiana enrollments
- Also billed through NPI 1619755329 (Indiana)
- 144 clinicians in this Medicare group
New Albany, IN 47150
- Reassigned Medicare billing, Indiana enrollment
- 163 clinicians in this Medicare group
Paducah, KY 42003
- Reassigned Medicare billing, Kentucky enrollment
- 26 clinicians in this Medicare group
Jonesboro, AR 72401
- Reassigned Medicare billing, Arkansas enrollment
- 439 clinicians in this Medicare group
Jonesboro, AR 72401
- Reassigned Medicare billing, Arkansas enrollment
- 318 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- 309 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 5
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Deaconess Henderson Hospital
Acute Care Hospitals · Henderson, KYBaptist Health Paducah
Acute Care Hospitals · Paducah, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
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 Koleilat's NPI number?
The NPI number for Bassem Koleilat is 1578680831. It was assigned to this individual provider in the NPPES registry on March 23, 2007.
Where is Bassem Koleilat located?
Bassem Koleilat practices at 303 N Clyde Morris Blvd, Daytona Beach, FL 32114. The listed phone number is (386) 425-4542.
What is Bassem Koleilat's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Bassem Koleilat enrolled in Medicare?
Yes. Bassem Koleilat 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 Bassem Koleilat's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bassem Koleilat reassigns Medicare benefits to 13 organizations: Halifax Healthcare Systems Inc (Daytona Beach, FL), Central Florida Primary Care P L C (Orlando, FL), Southeastern Physician Services PC (Oak Ridge, TN), University Of Louisville Phyisicians, Inc. (Louisville, KY), Deaconess Hospital Inc (Owensboro, KY) and 8 more organizations, listed in the Medicare section above. 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 Bassem Koleilat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bassem Koleilat accept?
Health plans from Arkansas Blue Cross and Blue Shield, CareSource, Health Advantage and Octave list Bassem Koleilat 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 Koleilat affiliated with any hospitals?
According to CMS data, Bassem Koleilat is affiliated with Deaconess Henderson Hospital and Baptist Health Paducah.
When was this NPI record last updated?
The NPPES record for Bassem Koleilat was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Bassem Koleilat, MD · NPI 1578680831
Hospitalist physician in Daytona Beach, Florida. Individual provider, active in the CMS NPPES registry since March 23, 2007.
## Identity
- **NPI:** 1578680831 (Entity type: Individual)
- **Enumerated:** March 23, 2007
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** ME102911 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 303 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114-2709
- **Phone:** (386) 425-4542 · **Fax:** (386) 425-7705
## 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:** 13 organizations under Medicare reassignment (form CMS-855R): Halifax Healthcare Systems Inc (NPI 1245283530, Daytona Beach, FL); Central Florida Primary Care P L C (NPI 1609059666, Orlando, FL); Southeastern Physician Services PC (NPI 1083835441, Oak Ridge, TN); University Of Louisville Phyisicians, Inc. (NPI 1679222632, Louisville, KY); Deaconess Hospital Inc (NPI 1841822327, Owensboro, KY); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** June 10, 2026
- **Other identifiers:** Medicaid 7100933410 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1578680831) · Data from the CMS NPPES public registry.