Pennsylvania Institute of Endocrinology LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

PENNSYLVANIA INSTITUTE OF ENDOCRINOLOGY LLC

Practice address

1575 Highlands Dr
Suite 206
Lititz, PA 17543-7507

Phone

(717) 568-8886

Fax

(717) 627-2727

NPI assigned

Nov 4, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tipu Faiz M. Saleem, MDNPI 1215934609

Title

Owner

Phone

(717) 568-8886

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FJJGBA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tipu Faiz Muhammed Saleem, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Lititz, PA
  • NPI 1215934609
  Medicare reassignment Care Compare group NPD Authorized official
• Saba Faiz, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Lititz, PA
  • NPI 1790994622

  Internal Medicine

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1003193046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 HIGHLANDS DR",
            "address_2": "SUITE 206",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437507",
            "telephone_number": "717-568-8886",
            "fax_number": "717-627-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 HIGHLANDS DR",
            "address_2": "SUITE 206",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437507",
            "telephone_number": "717-568-8886",
            "fax_number": "717-627-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA INSTITUTE OF ENDOCRINOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "SALEEM",
        "authorized_official_first_name": "TIPU FAIZ",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-568-8886",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102656403-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Lititz, PA
• Providers in Lititz, PA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.