Individual provider Active NPI

Rahim Salari, M.D.

  • Pulmonary Disease Physician
  • Lakeland, FL
National Provider Identifier
1043215577
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME30408 Issued in FL
Practice address
6563 Crescent Lake Dr
Lakeland, FL 33813-4654
Phone
(863) 604-6575
NPI assigned
Jun 21, 2005
Last updated
May 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME30408 FL Primary

Addresses

Primary practice location

6563 Crescent Lake Dr
Lakeland, FL 33813-4654

Mailing address

6563 Crescent Lake Dr
Lakeland, FL 33813-4654
Phone (863) 604-6575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090102000150 FL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3779645585 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30408FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Regional Health Systems, Inc. Pulmonary Disease CurrentSince Jul 1, 2013 Accepting new patients

Locations

130 Pablo St
Lakeland, FL 33803
Phone (863) 284-5064

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

1324 Lakeland Hills Blvd
Ofc
Lakeland, FL 33805
Phone (863) 687-1177

2625 S Florida Ave
Lakeland, FL 33803
Phone (863) 284-5941

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

5135 US Highway 98 N
Lakeland, FL 33809
Phone (941) 284-5998

3650 Emergency Ln
Sebring, FL 33870
Phone (800) 382-8345

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1043215577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6563 CRESCENT LAKE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338134654",
            "telephone_number": "863-604-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6563 CRESCENT LAKE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338134654",
            "telephone_number": "863-604-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALARI",
        "first_name": "RAHIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME30408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.