Organization Active NPI

Salim Hamade M.D., P.a.

  • Infectious Disease Physician
  • St Petersburg, FL
National Provider Identifier
1043464464
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME0071332 Issued in FL
Legal business name
SALIM HAMADE M.D., P.A.
Practice address
900 Carillon Pkwy
Suite 112
St Petersburg, FL 33716-1121
Phone
(727) 233-0111
Fax
(727) 231-8100
NPI assigned
Nov 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Salim Hamade, MDNPI 1124008891
Title
Doctor
Phone
(727) 233-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X ME0071332 FL Primary

Addresses

Primary practice location

900 Carillon Pkwy
Suite 112
St Petersburg, FL 33716-1121

Mailing address

900 Carillon Pkwy
Suite 112
St Petersburg, FL 33716-1121
Phone (727) 233-0111

Other identifiers 2

IdentifierTypeStateIssuer
008305300MedicaidFL
32180YOtherFLMEDICARE INDIVIDUAL PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130612000291 FL Part B Supplier - Clinic/Group Practice 6608015250 Receives reassigned benefits from 1 practitioner
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

900 Carillon Pkwy
Ste 112
St Petersburg, FL 33716
Phone (727) 233-0111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1043464464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CARILLON PKWY",
            "address_2": "SUITE 112",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161121",
            "telephone_number": "727-233-0111",
            "fax_number": "727-231-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CARILLON PKWY",
            "address_2": "SUITE 112",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161121",
            "telephone_number": "727-233-0111",
            "fax_number": "727-231-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALIM HAMADE M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "HAMADE",
        "authorized_official_first_name": "SALIM",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "727-233-0111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME0071332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008305300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "32180Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.