DR. ISSAM AFIF HALABY M.D.,PH.D.
NPI 1861566119
Surgery in Venice, FL

Q: What is Issam Halaby's NPI number?

The NPI number for Issam Halaby is 1861566119. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Q: What is Issam Halaby's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Issam Halaby was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 November 20, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

436 NOKOMIS AVE S, VENICE, FL 34285(941) 445-5054(941) 303-6796 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Issam Afif Halaby M.d.,ph.d. NPPES

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

DR. ISSAM AFIF HALABY M.D.,PH.D. (NPI 1861566119) is an individual surgery provider in Venice, Florida, licensed in Florida (ME83954) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1861566119

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. ISSAM AFIF HALABYCredential: M.D.,PH.D.

Location Address436 NOKOMIS AVE SVenice, FL 34285-2617

Mailing Address436 Nokomis Ave SVenice, FL 34285-2617 · (941) 445-5054 · Fax (941) 303-6796

Phone(941) 445-5054

Fax(941) 303-6796

Sole ProprietorNo

Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2001

Enumeration DateNovember 20, 2006

Last NPPES UpdateMarch 14, 2022

NPPES CertifiedMarch 14, 2022

✔ NPI 1861566119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in FL · ME83954

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

436 NOKOMIS AVE S, Venice, FL 34285

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Secondary Practice Locations 6

Location 11283 Jacaranda BlvdVenice, FL 34292-4522 · Phone (941) 445-5054 · Fax (941) 303-6796

Location 21201 Jacaranda BlvdVenice, FL 34292-4535 · Phone (941) 445-5054 · Fax (941) 303-6796

Location 32600 Laurel Rd ENorth Venice, FL 34275-3226 · Phone (941) 455-5054 · Fax (941) 303-6796

Location 4540 The RialtoVenice, FL 34285-2900 · Phone (941) 445-5054 · Fax (941) 303-6796

Location 52540 Tamiami TrlSarasota, FL 34239-4501 · Phone (941) 445-5054 · Fax (941) 303-6796

Location 6512 Nokomis Ave SVenice, FL 34285-2817 · Phone (941) 445-5054 · Fax (941) 303-6796

Other Identifiers 7

Other59-1362995FL · Group Tax Id #

Other08597FL · Bcbs

Other12604FL · Universal Health Care

Other2419854FL · Cigna

Other00778FL · Blue Cross Blue Shield Group

Other303424FL · United Health Care Mpin

OtherP00303804FL · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Dr. Issam Afif Halaby M.d.,ph.d. 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 ID5092731273

PECOS Enrollment IDI20051017001006

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 28

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.

336 services253 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

313 services229 patients

Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153

This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.

191 services46 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

172 services127 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

145 services117 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.

124 services124 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

113 services113 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

87 services73 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

68 services67 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

68 services54 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

56 services33 patients

Review by radiologist of arm or leg artery image 75710

This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.

44 services36 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.

39 services39 patients

Injection of chemical agent into single incompetent vein of leg using ultrasound guidance 36465

This procedure involves injecting a chemical agent into a non-functioning vein in your leg. Ultrasound technology is used to accurately locate the vein. The chemical helps to close off the vein, rerouting blood flow to healthier veins.

37 services17 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.

33 services31 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.

31 services29 patients

Removal of plaque in arteries of leg 37225

This procedure, known as atherectomy, involves clearing out plaque buildup in the leg arteries. Plaque can restrict blood flow, causing discomfort and potential health issues. A special device is inserted into the artery to carefully remove the plaque, improving blood circulation.

30 services25 patients

Review by radiologist of arm or leg artery image 75710

26 services20 patients

Removal of plaque and insertion of stents in arteries of leg 37227

This procedure, known as angioplasty, involves a small tube being inserted into your leg artery. The tube has a tiny balloon that inflates to remove plaque blocking the artery. A stent (a small mesh tube) is then placed to keep the artery open, improving blood flow.

20 services20 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

20 services19 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

20 services12 patients

Complete ultrasound of abdomen and pelvis artery and vein blood flow 93975

This procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.

19 services15 patients

Insertion of stent in arteries of leg 37226

A stent insertion in the leg arteries is a procedure to improve blood flow. A tiny mesh tube called a stent is placed in your artery to keep it open. This helps prevent blockages, alleviating pain and aiding in better mobility.

17 services12 patients

Removal of plaque in artery of leg, initial vessel 37229

This procedure involves removing plaque from the initial vessel in your leg. Plaque, a build-up of fat, cholesterol, and other substances, can block blood flow. The removal process, known as an angioplasty, restores healthy blood circulation in your leg.

16 services14 patients

Repair of groin hernia (5 years or older) 49505

Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.

16 services16 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

15 services15 patients

Insertion of stent and blood clot protection device in neck artery with review by radiologist 37215

This procedure involves placing a small mesh tube, or stent, in your neck artery to ensure blood flow. A protective device is also inserted to prevent blood clots from reaching the brain. A radiologist reviews the procedure to ensure everything is in place correctly.

14 services13 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100087

Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County

Emergency services Birthing friendly

Hca Florida Sarasota Doctors Hospital

Acute Care Hospitals · Sarasota, FL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number100166

Location5731 Bee Ridge RdSarasota, FL 34233 · Sarasota County

Emergency services

Hca Florida Englewood Hospital

Acute Care Hospitals · Englewood, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100267

Location700 Medical BlvdEnglewood, FL 34223 · Sarasota County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34285 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.

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

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.

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

2 suppliers11 claims550 services$0.23 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

2 suppliers11 claims325 services$0.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

JESSICA KIM WOOD APRN-FNP-C

Nurse Practitioner (Family)

436 NOKOMIS AVE S
VENICE, FL 34285

Sarasota County (941) 488-7742

SURGICAL ASSOCIATES OF VENICE AND ENGLEWOOD, PA

Surgery

436 NOKOMIS AVE S
VENICE, FL 34285

Sarasota County (941) 488-7742

DR. SIDNEY WAYNE HOLEC M.D.

Surgery

436 NOKOMIS AVE S
VENICE, FL 34285

Sarasota County (941) 488-7742

ANDREW J OLIVER D.O.

Surgery

436 NOKOMIS AVE S
VENICE, FL 34285

Sarasota County (941) 445-5054

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 Issam Halaby's NPI number?

The NPI number for Issam Halaby is 1861566119. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Issam Halaby located?

Issam Halaby practices at 436 Nokomis Ave S, Venice, FL 34285. The listed phone number is (941) 445-5054.

What is Issam Halaby's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Issam Halaby enrolled in Medicare?

Yes. Issam Halaby 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.

What insurance does Issam Halaby accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Issam Halaby 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 Issam Halaby affiliated with any hospitals?

According to CMS data, Issam Halaby is affiliated with Sarasota Memorial Hospital, Hca Florida Sarasota Doctors Hospital and Hca Florida Englewood Hospital.

When was this NPI record last updated?

The NPPES record for Issam Halaby was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.