Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bassem Koleilat, MD

Individual provider Internal Medicine Physician · NPI 1578680831

Bassem Koleilat, MD is an Internal Medicine in Daytona Beach, Florida. Qualified in 2001, 25 years ago. Practices with Mercy Clinic Joplin LLC, a 295-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Kentucky.

Years since qualifying
25
Licensed in
FL, KY
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Phone: (386) 425-4542
Fax: (386) 425-7705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Abraham Flexner Way, Louisville, KY 40202-2877 — (502) 587-4267

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence ME102911 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 58383 (KY)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME102911 (FL)
Hospitalist Physician Taxonomy 208M00000X · Licence 58383 (KY)

Record details

NPI number1578680831
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2007
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Mercy Clinic Joplin Llc — 295 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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