Bassam Soufan, MD

ActiveIndividual ProviderSpecialty not listed
NPI issued: August 30, 2006

Quick Facts

NPI Number
1356451546
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy261QU0200X — Specialty not listed
Phone
(815) 971-2000
StateIL

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1356451546)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (August 30, 2006)
Data source: CMS NPPES

Provider Overview

BASSAM SOUFAN, MD is a Healthcare provider based in Rockford, IL who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1356451546
Provider TypeIndividual Provider
GenderMale
CredentialMD
StatusActive
Enumeration DateAugust 30, 2006

Practice Location

CityRockford
StateIL
ZIP Code61114-8011
Phone(815) 971-2000

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code261QU0200X
License StateIL

Mailing Address

CityRockford
StateIL
ZIP Code61114-8011
Phone(815) 971-2000
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1356451546 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1356451546for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1356451546 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Specialty not listedproviders →
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9,865
Specialty not listed Providers in the US

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People Also Ask

What is Bassam Soufan's NPI number?
Bassam Soufan's NPI number is 1356451546, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Bassam Soufan's NPI currently active?
Yes, Bassam Soufan's NPI status is Active as of the latest CMS NPPES database updates.
What does Bassam Soufan specialize in?
Bassam Soufan specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 261QU0200X.
Where does Bassam Soufan practice?
Bassam Soufan practices in Rockford, IL 61114-8011.
When was Bassam Soufan's NPI issued?
Bassam Soufan's NPI was issued on August 30, 2006.
What is Bassam Soufan's provider type?
Bassam Soufan is registered as an Individual Provider under CMS NPI Type 1.