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Sandra Barsoum

Physician Assistant β€’ Melbourne, FL

Active NPI 1639860430 Individual Practitioner Female Practitioner
Practice location in NPPES

1350 Hickory St
Melbourne, FL 329013224

Call 3214347000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1350 Hickory St

Melbourne, FL 329013224

Telephone 3214347000
Organization at the Same NPPES Address or Phone
Holmes Regional Medical Center, Inc. Facility NPI 1295702728

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Sandra Barsoum has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Sandra Barsoum as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Melbourne and Florida

109 active clinicians are listed under Physician Assistant with a practice address in Melbourne, FL (10,260 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Melbourne

5.5% of these 109 clinicians have the CMS telehealth indicator.

56% of these 109 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250320004111

Enrollment State Jurisdiction

FL

PECOS Control ID

0941722714

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

39 listed
Alyssa Allred

Nurse Anesthetist, Certified Registered

NPI 1982294740
Derek Amerman , CAA

Anesthesiologist Assistant

NPI 1750003679
Dr. Gregory Benke , MD

Radiology - Diagnostic Radiology

NPI 1770743908

Doctor of Medicine (M.D.)

Rachael Bishop , APRN

Nurse Practitioner

NPI 1285498600

Advanced Practice Registered Nurse

Dr. Katelyn Briggs , MD

Internal Medicine - Hospice and Palliative Medicine

NPI 1942611850

Doctor of Medicine (M.D.)

Ryan Carature , PA-C

Physician Assistant

NPI 1447591920

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 03, 2025

Registered at 1350 HICKORY ST, MELBOURNE, FL 329013224 (Tel: 3214347000)

πŸ“
Updated Business Mailing Address June 03, 2025

Registered at 1572 LARAMIE CIR, MELBOURNE, FL 329406371

πŸ“
Updated Practice Location March 31, 2025

Registered at 2627 W EAU GALLIE BLVD STE 101, MELBOURNE, FL 329358303 (Tel: 3215058659)

βœ…
NPI Profile Active May 15, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 15, 2023

Registered at 720 WESTVIEW DR SW, ATLANTA, GA 303101458 (Tel: 4047561959)

πŸ“
Business Mailing Address (Initial Record) May 15, 2023

Registered at 2167 BOLTON DR NW APT 1609, ATLANTA, GA 303189321

πŸ‘€
Provider Name / Credentials (Initial Record) May 15, 2023

Recorded as SANDRA BARSOUM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2023

Physician Assistant

🟒
Initial NPI Registration & Enumeration May 15, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639860430
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2023
Last Update: June 03, 2025
Sole Proprietor: No

Other Physician Assistants in Melbourne

All Physician Assistants in Melbourne

Mailing Address

1572 Laramie Cir

Melbourne, FL 329406371

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.