Individual provider Active NPI

Mark L Chalem, MD

  • Psychiatry Physician
  • Spokane, WA
National Provider Identifier
1083830848
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD00017775 Issued in WA
Practice address
3515 S Lloyd Rd
Spokane, WA 99223-1163
Phone
(509) 319-9599
Fax
(509) 315-8807
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD00017775 WA Primary

Addresses

Primary practice location

3515 S Lloyd Rd
Spokane, WA 99223-1163

Mailing address

PO Box 31120
Spokane, WA 99223-3018
Phone (509) 319-9599

Other identifiers 2

IdentifierTypeStateIssuer
1077791MedicaidWA
0034878OtherWAL AND I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20120326000163 WA Practitioner - Psychiatry 6204984503 Reassigns benefits to 1 organization
Practice locations: Spokane, WA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Warren Alpert Medical School of Brown University, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMS Solutions IncGroup PAC ID 6002113057, 8 clinicians

Practice addresses (Care Compare)

3515 S Lloyd Rd
Spokane, WA 99223-1163
Phone (509) 319-9599

528 E Spokane Falls Blvd
Suite 503
Spokane, WA 99202-5050
Phone (509) 688-0588

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMS Solutions Inc Psychiatry CurrentSince Dec 12, 2018 Accepting new patients

Locations

765 E Holland Ave
Ste 1
Spokane, WA 99218
Phone (509) 242-6005

528 E Spokane Falls Blvd
Ste 503
Spokane, WA 99202
Phone (509) 688-0588

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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1083830848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31120",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992233018",
            "telephone_number": "509-319-9599",
            "fax_number": "509-315-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 S LLOYD RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992231163",
            "telephone_number": "509-319-9599",
            "fax_number": "509-315-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALEM",
        "first_name": "MARK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00017775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1077791",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L AND I",
            "identifier": "0034878",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.