Individual provider Active NPI

Ambareen Salam, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1053350488
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J8754 Issued in TX
Practice address
12720 Hillcrest Rd Ste 725
Dallas, TX 75230-7110
Phone
(972) 566-8899
Fax
(972) 566-5775
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J8754 TX Primary

Addresses

Primary practice location

12720 Hillcrest Rd Ste 725
Dallas, TX 75230-7110

Mailing address

7777 Forest LN Ste C650
Dallas, TX 75230-6867
Phone (972) 566-8899

Other identifiers 1

IdentifierTypeStateIssuer
00998DOtherTXMEDICARE IDENTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090303000348 TX Practitioner - Internal Medicine 9335205129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Practice addresses (Care Compare)

12720 Hillcrest Rd
Suite 725
Dallas, TX 75230-7110
Phone (972) 566-8899

2710 N Josey LN
301 Green Oaks Carrollton
Carrollton, TX 75007-5400
Phone (469) 701-9108

9330 LBJ Fwy
Suite 800
Dallas, TX 75243-4310

Hospital & facility affiliations

  • DFW Home Health Home health agency, Dallas, TX, CCN 458444
  • Charlin Hospice Hospice, Plano, TX, CCN 741578
  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647
  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J8754TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Texas Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients

Locations

7777 Forest Ln
Ste C650
Dallas, TX 75230
Phone (972) 327-5524

12720 Hillcrest Rd
Ste 725
Dallas, TX 75230
Phone (972) 566-8899

Interoperability endpoints

  • Direct secure messaging: ambareen.salam@imatx.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEIBCD/Endpoint/IEIBCD

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1053350488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C650",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306867",
            "telephone_number": "972-566-8899",
            "fax_number": "972-566-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 HILLCREST RD STE 725",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752307110",
            "telephone_number": "972-566-8899",
            "fax_number": "972-566-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAM",
        "first_name": "AMBAREEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J8754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER",
            "identifier": "00998D",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.