Active NPI
Attiya Salim, M.D.
- Pain Medicine (Anesthesiology) Physician
- Kingman, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 14991
- Practice address
- 945 Gardencrest Dr
Kingman, AZ 86409-2912 - Phone
- (928) 757-5522
- Fax
- (928) 692-2591
- NPI assigned
- Jun 28, 2005
- Last updated
- Dec 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 14991 | AZ | Primary |
Addresses
Primary practice location
945 Gardencrest Dr
Kingman, AZ 86409-2912
Mailing address
945 Gardencrest Dr
Kingman, AZ 86409-2912
Phone (928) 757-5522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242529 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1465 E Northern Ave
Kingman, AZ 86409-2402
Phone (928) 757-5522
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salim Medical Urgent Care Inc | Current | Accepting new patients | |
| Salim Medical, LLC | Current | Accepting new patients | |
| Aims Physicians and Surgeons | Pain Medicine | Past | Accepting new patients |
| Sycamore Avenue Medical Center, PLLC | Past | Accepting new patients | |
| Hualapai Mountain Medical Profees, LLC | Past | Accepting new patients | |
| Mohave Primary Care | Past | Accepting new patients |
Locations
1465 E Northern Ave
Kingman, AZ 86409
Phone (928) 580-4883
Interoperability endpoints
- attiya.salim.1@29712.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Kingman, AZ
- NPI 1659891786
-
dba Outpatient Treatment Center
- Urgent Care Clinic/Center
- Kingman, AZ
- NPI 1306356738
-
- Specialist
- Kingman, AZ
- NPI 1417289810
-
- Specialist
- Kingman, AZ
- NPI 1700909330
-
- Family Nurse Practitioner
- Kingman, AZ
- NPI 1245762491
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kingman Regional Medical Center
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1073510673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 GARDENCREST DR",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864092912",
"telephone_number": "928-757-5522",
"fax_number": "928-692-2591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 GARDENCREST DR",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864092912",
"telephone_number": "928-757-5522",
"fax_number": "928-692-2591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALIM",
"first_name": "ATTIYA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-28",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "AZ",
"license": "14991",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "242529",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingman, AZ
- Sage Counseling, Inc.
- Hesham Sahawneh, DO
- Annalisa Saiz, BSN
- Salim Medical Urgent Care Inc (Outpatient Treatment Center)
- Salim Medical, LLC
- Harris Salim, M.D.
- San Luis Walk-in Clinic, Inc. (Kingman Family Walk In Clinic)
- Carol B San Vicente, RPH
- Tori Sandoval, D.M.D.
- Santos Interventional Pain Medicine, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.