Said Haider Al Tawil, M.D.,
Individual provider Active NPI Geriatric Medicine (Family Medicine) Physician · Red Wing, MN
NPI 1114290442 · NPPES record last updated Sep 16, 2016
Key facts
- NPI
- 1114290442
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Family Medicine) Physician 207QG0300X
- License
- 60641 (MN)
- Practice address
- 701 Hewitt Blvd
Red Wing, MN 55066-2848 - Phone
- (651) 267-5000
- NPI assigned
- Feb 16, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 17
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Salem Health
Practice addresses (Care Compare)
665 Winter St SE
Salem, OR 97301-3934
Phone (503) 561-5200
890 Oak St SE
Salem, OR 97301-3905
Phone (503) 561-5200
Hospital & facility affiliations
- Salem Hospital
- Salem Health West Valley
- Santiam Hospital & Clinics
- Samaritan Pacific Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190827000349 | OR | Practitioner - Hospitalist |
5496049108 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Health West Valley | Current |
Accepting new patients | |
| Salem Health | Current |
Accepting new patients | |
| United Regional Health Care System Inc | Current | Accepting new patients | |
| Salem Health | Current |
Accepting new patients |
Locations
525 SE Washington St
Dallas, OR 97338
Phone (503) 623-7344
665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634
1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000
Interoperability endpoints
- saltawil13286@unitedregional.medalliesdirect.net
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
- stawil204638@direct.salemhealth.org
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 60641 | MN | Yes |
Addresses
Primary practice location
701 Hewitt Blvd
Red Wing, MN 55066-2848
Mailing address
701 Hewitt Blvd
Red Wing, MN 55066-2848
Phone (651) 267-5000
Other providers in Red Wing, MN
- Grace Aerts
- Matthew R Affeldt
- Kristin M Ahdunko
- Asani Ajogun
- Kanko Akakpovi
- Jack W Alexander
- Holli Pauline Alladin
- Brittney Joy Amdahl
- Jaedyn Marie Anderson
- Tianna Shantae Anderson
All providers in Red Wing, MN · Geriatric Medicine (Family Medicine) Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.