Individual provider Active NPI

Attiya Salim, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Kingman, AZ
National Provider Identifier
1073510673
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
14991 Issued in AZ
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
242529MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525000191 AZ Practitioner - AnesthesiologyPractitioner - Pain Management 2860473196 Reassigns benefits to 2 organizations
Practice locations: Kingman, AZ

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salim Medical LLCGroup PAC ID 6709156961, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Salim Medical Urgent Care Inc CurrentSince Dec 12, 2017 Accepting new patients
Salim Medical, LLC CurrentSince Jul 1, 2017 Accepting new patients
Aims Physicians and Surgeons Pain Medicine Past Accepting new patients
Sycamore Avenue Medical Center, PLLC PastSince Apr 30, 2017 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

  • Direct secure messaging: 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.

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": "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

Sources for this page

Verify at the official NPI Registry.