Individual provider Active NPI

Andrew Kamil Salem, M.D.

  • Ophthalmology Physician
  • Houston, TX
National Provider Identifier
1114218278
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
Q7268 Issued in TX
Practice address
3405 Edloe St Ste 300
Houston, TX 77027-6513
Phone
(713) 797-1500
NPI assigned
Apr 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X Q7268 TX Primary

Addresses

Primary practice location

3405 Edloe St Ste 300
Houston, TX 77027-6513

Mailing address

3405 Edloe St Ste 300
Houston, TX 77027-6513
Phone (713) 797-1500

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
I20160519002010 TX Practitioner - Ophthalmology 9830401678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marc R. Sanders, M.D., P.a.Group PAC ID 1850337320, 5 clinicians
University of Houston SystemGroup PAC ID 6901896356, 55 clinicians

Practice addresses (Care Compare)

3405 Edloe St
Suite 300
Houston, TX 77027-6513
Phone (713) 797-1500

4401 Martin Luther King Blvd
Houston, TX 77204-2020
Phone (713) 743-2020

Merit-based Incentive Payment System (MIPS)

Final score
98.8 of 100Reported as individual
Quality
100
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery451

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q7268TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marc R. Sanders, M.D., P.a. Ophthalmology CurrentSince Jul 1, 2016 Accepting new patients
University of Houston System CurrentSince Apr 25, 2023 Accepting new patients
University of Houston CurrentSince Apr 25, 2023 Accepting new patients
Marc R Sanders MD PA Ophthalmology PastSince Jul 1, 2016 Accepting new patients

Locations

190 Heights Blvd
Houston, TX 77007
Phone (713) 527-8480

4401 Martin Luther King Blvd
Houston, TX 77204
Phone (713) 743-1921

3405 Edloe St
Ste 300
Houston, TX 77027
Phone (713) 797-1500

Organizations & group practices 4

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": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1114218278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 EDLOE ST STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276513",
            "telephone_number": "713-797-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 EDLOE ST STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276513",
            "telephone_number": "713-797-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEM",
        "first_name": "ANDREW",
        "middle_name": "KAMIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-25",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q7268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.