COAST HEART INSTITUTE, PLLC
NPI 1992718795
Internal Medicine - Cardiovascular Disease in Gulfport, MS

Active since August 14, 2006
4215 15TH ST, GULFPORT, MS 39501(228) 863-5211 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Coast Heart Institute, Pllc NPPES

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

COAST HEART INSTITUTE, PLLC (NPI 1992718795) is a healthcare organization registered as a cardiovascular disease in Gulfport, Mississippi and active in the NPI registry since August 2006. The organization lists Bassam R Baroudi, Managing Partner/owner, as its authorized official.

NPPES Registry Identity

NPI1992718795
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCOAST HEART INSTITUTE, PLLC
Location Address4215 15TH STGulfport, MS 39501-2523
Mailing Address4215 15th StGulfport, MS 39501-2523 · (228) 863-5211
Organization SubpartNo
Authorized OfficialBassam R BaroudiManaging Partner/owner · (228) 863-5211
Enumeration DateAugust 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1992718795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4215 15TH ST, Gulfport, MS 39501

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coast Heart Institute, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20040415000296Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Coast Heart Institute, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Cardiovascular Disease (Cardiology)
NPI 1487683231
4215 15TH ST
Gulfport, MS 39501
(228) 863-5211
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1952741977
4215 15TH ST
Gulfport, MS 39501
(228) 863-5211
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437540184
1340 BROAD AVE STE 310
Gulfport, MS 39501
(228) 575-1400
✔ PECOS✔ Accepts Medicare0.3 mi
Cardiovascular Disease (Cardiology)
NPI 1558673384
4300B W RAILROAD ST
Gulfport, MS 39501
(228) 822-6722
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1700210432
2809 DENNY AVE
Pascagoula, MS 39581
(228) 809-5510
✔ PECOS✔ Accepts Medicare35 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Coast Heart Institute, PLLC's NPI number?

The NPI number for Coast Heart Institute, PLLC is 1992718795. It was assigned to this organization in the NPPES registry on August 14, 2006.

Where is Coast Heart Institute, PLLC located?

Coast Heart Institute, PLLC is located at 4215 15th St, Gulfport, MS 39501. The listed phone number is (228) 863-5211.

What is Coast Heart Institute, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Coast Heart Institute, PLLC enrolled in Medicare?

Yes. Coast Heart Institute, PLLC is registered in the Medicare PECOS enrollment system.

When is Coast Heart Institute, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Coast Heart Institute, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Coast Heart Institute, PLLC, in Cardiovascular Disease (Cardiology), Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Coast Heart Institute, PLLC accept?

Health plans from Molina Healthcare list Coast Heart Institute, PLLC 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.

When was this NPI record last updated?

The NPPES record for Coast Heart Institute, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.