Bassam Bilal, M.D.
NPI 1306890827 · Internal Medicine Physician · Laguna Niguel, CA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bassam Bilal, M.D. is a Internal Medicine Physician provider in Laguna Niguel, CA (NPI 1306890827).
Provider details
- NPI number
- 1306890827
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- C150299 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
609 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 350 | $98 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 209 | $139 |
| Administration of Pneumococcal VaccineG0009 | 19 | $35 |
| Urinalysis, Manual Test81002 | 18 | $3 |
| Administration of Influenza Virus VaccineG0008 | 13 | $35 |
Typical Medicare-allowed amounts for these services range $3–$139 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 128 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 599 | 194 |
| Losartan Potassium | 400 | 128 |
| Amlodipine Besylate | 371 | 133 |
| Levothyroxine Sodium | 341 | 119 |
| Lisinopril | 299 | 94 |
| Rosuvastatin Calcium | 260 | 98 |
| Gabapentin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$283 across 8 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 15642 Sand Canyon Ave Unit 54102Irvine, CA 92619-5439Phone: (949) 344-5662Fax: (949) 502-8887
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2025-11-14
- Certified
- 2025-11-14
Frequently asked questions
- What is Bassam Bilal's NPI number?
- Bassam Bilal's National Provider Identifier (NPI) is 1306890827, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bassam Bilal's specialty?
- Bassam Bilal is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Bassam Bilal located?
- Bassam Bilal's practice location on file with NPPES is 30281 Golden Lantern, Laguna Niguel, CA 92677-5979.
- What is Bassam Bilal's phone number?
- The practice phone number listed in the NPPES registry for Bassam Bilal is (702) 579-3203.
- Does Bassam Bilal accept Medicare?
- Bassam Bilal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bassam Bilal's NPI active?
- Yes — Bassam Bilal's NPI (1306890827) is active in the NPPES registry as of the last update on 2025-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.