Individual provider Active NPI

Munketh Salem, D.P.M.

  • Foot Surgery Podiatrist
  • Richmond, VA
National Provider Identifier
1104110857
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
0103301155 Issued in VA
Practice address
5311 Patterson Ave
Ste 110
Richmond, VA 23226-2041
Phone
(804) 285-1523
NPI assigned
May 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X XX OH
Foot Surgery Podiatrist 213ES0131X 0103301155 VA Primary

Addresses

Primary practice location

5311 Patterson Ave
Ste 110
Richmond, VA 23226-2041

Mailing address

5311 Patterson Ave
Ste 110
Richmond, VA 23226-2041
Phone (804) 285-1523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151113002074 VA Practitioner - Podiatry 2062630411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Center IncGroup PAC ID 7618096058, 6 clinicians

Practice addresses (Care Compare)

4788 Finlay St
Suite 1
Henrico, VA 23231-2855
Phone (804) 500-1400

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue51
Removal of skin lesions58
Removal of nail tissue1014
Removal or shaving of skin growth872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
XXOHMDPodiatrist
0103301155VAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Center Inc Podiatrist CurrentSince Oct 1, 2016 Accepting new patients
Best Foot Forward Consulting, LLC Podiatrist Past Accepting new patients

Locations

1100 Boulevard
#B
Colonial Heights, VA 23834

1100B Boulevard
Colonial Heights, VA 23834
Phone (804) 500-1400

720 Irvington Rd
Kilmarnock, VA 22482
Phone (804) 500-1400

4788 Finlay St
Ste 1
Richmond, VA 23231
Phone (804) 222-4949

5311 Patterson Ave
Ste 110
Richmond, VA 23226
Phone (804) 285-1523

Organizations & group practices 2

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": "1306627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1104110857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 PATTERSON AVE",
            "address_2": "STE 110",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262041",
            "telephone_number": "804-285-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 PATTERSON AVE",
            "address_2": "STE 110",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262041",
            "telephone_number": "804-285-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEM",
        "first_name": "MUNKETH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-29",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "XX",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "0103301155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.