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SANDRA BARSOUM
NPI 1639860430
Physician Assistant in Melbourne, FL

Active since May 15, 2023PECOS Enrolled
1350 HICKORY ST, MELBOURNE, FL 32901(321) 434-7000 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2025, Mar 31, 2025, May 15, 2023 (3 updates tracked since 2023).

About Sandra Barsoum NPPES

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

SANDRA BARSOUM (NPI 1639860430) is an individual physician assistant in Melbourne, Florida and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639860430
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSANDRA BARSOUM
Location Address1350 HICKORY STMelbourne, FL 32901-3224
Mailing Address1572 Laramie CirMelbourne, FL 32940-6371
Phone(321) 434-7000
Sole ProprietorNo
Enumeration DateMay 15, 2023
Last NPPES UpdateJune 3, 20253 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1639860430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1350 HICKORY ST, Melbourne, FL 32901
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Barsoum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 20

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

TOMOR SEDALIU
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771
DR. OLGA DORJIMA EMGUSHOV MD,MPH
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771
KATHERINE F. IMHOF PHARMD
Pharmacist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-7485
WILLIAM BRANDON EVANS FNP
Nurse Practitioner (Adult Health)
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771
MRS. ALEXA NOELLE REEDY APRN
Nurse Practitioner
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (317) 805-4102
DR. NICOLE SWICORD PHARMD
Pharmacist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1887
DR. KEVIN H WALLACE MD
Internal Medicine (Pulmonary Disease)
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-4225
MARIA DEL C MARTINEZ M.D.
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771

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 Sandra Barsoum's NPI number?

The NPI number for Sandra Barsoum is 1639860430. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Sandra Barsoum located?

Sandra Barsoum practices at 1350 Hickory St, Melbourne, FL 32901. The listed phone number is (321) 434-7000.

What is Sandra Barsoum's specialty?

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

Is Sandra Barsoum enrolled in Medicare?

Yes. Sandra Barsoum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sandra Barsoum was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.