Individual provider Active NPI

Salim A Jaffer, MD

  • Gastroenterology Physician
  • Goshen, IN
National Provider Identifier
1043387566
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01083146A Issued in IN
Practice address
1615 Winsted Dr Ste 2
Goshen, IN 46526-4673
Phone
(574) 537-1625
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 430162463 MI
Gastroenterology Physician 207RG0100X 01083146A IN Primary

Addresses

Primary practice location

1615 Winsted Dr Ste 2
Goshen, IN 46526-4673

Mailing address

4136 Legacy Pkwy
Suite 100
Lansing, MI 48911-4265
Phone (517) 999-5300

Other practice location 1

4136 Legacy Pkwy
Suite 100
Lansing, MI 48911-4265
Phone (517) 999-5300 ext. 95300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Toledo College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2004 Elkhart Rd
Suite a
Goshen, IN 46526-1118

Hospital & facility affiliations

  • Goshen Hospital Hospital, Goshen, IN, CCN 150026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy64
Upper gastrointestinal (GI) endoscopy for acid reflux50

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
430162463MIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Health System Inc Gastroenterology CurrentSince Jan 1, 2020 Accepting new patients
Goshen Hospital Association Inc Current Accepting new patients
Goshen Health System Inc CurrentSince Jan 1, 2020 Accepting new patients
Urvish K Shah, MD PC Gastroenterology Past Accepting new patients

Locations

1615 Winsted Dr
Ste 2
Goshen, IN 46526
Phone (574) 533-0300

2824 Elkhart Rd
Goshen, IN 46526
Phone (574) 534-6752

Interoperability endpoints

  • Direct secure messaging: salim.jaffer@goshenhealthdirect.com

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1043387566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 LEGACY PKWY",
            "address_2": "SUITE 100",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114265",
            "telephone_number": "517-999-5300",
            "fax_number": "517-999-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 WINSTED DR STE 2",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264673",
            "telephone_number": "574-537-1625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4136 Legacy Pkwy",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489114265",
            "country_code": "US",
            "telephone_number": "517-999-5300 x95300",
            "fax_number": "517-999-5310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAFFER",
        "first_name": "SALIM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "430162463",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01083146A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.