NPIMap

Individual provider Active NPI

Wael J Salman, MD

  • Internal Medicine Physician
  • Owosso, MI
National Provider Identifier
1114954880
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301059658 Issued in MI
Practice address
300 Health Park Dr.
Suite 304
Owosso, MI 48867
Phone
(989) 729-4222
Fax
(989) 729-4968
NPI assigned
Jun 27, 2006
Last updated
May 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301059658 MI Primary

Addresses

Primary practice location

300 Health Park Dr.
Suite 304
Owosso, MI 48867

Mailing address

300 Health Park Dr Ste 304
Owosso, MI 48867-1293
Phone (989) 729-4222

Other identifiers 1

IdentifierTypeStateIssuer
4467752MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050613000738 MI Practitioner - Internal Medicine 8123066362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Owosso Medical Associates PCGroup PAC ID 0244273241, 3 clinicians
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

300 Health Park Dr
Suite 304
Owosso, MI 48867-1293
Phone (989) 729-4222

826 W King St
Owosso, MI 48867-2120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301059658MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owosso Medical Associates PC Internal Medicine CurrentSince Jun 20, 2005 Accepting new patients
Memorial Hospital Internal Medicine Current Accepting new patients
Owosso Internal Medicine PC Internal Medicine Current Accepting new patients
Memorial Hospital CurrentSince Aug 1, 1999 Accepting new patients
Memorial Hospital CurrentSince Aug 1, 1999 Accepting new patients

Locations

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

300 Health Park Dr
Ste 304
Owosso, MI 48867
Phone (989) 729-4222

818 W King St
Ste 102
Owosso, MI 48867
Phone (989) 723-1390

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

Organizations & group practices 5

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 5

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1114954880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HEALTH PARK DR STE 304",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671293",
            "telephone_number": "989-729-4222",
            "fax_number": "989-729-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HEALTH PARK DR.",
            "address_2": "SUITE 304",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "48867",
            "telephone_number": "989-729-4222",
            "fax_number": "989-729-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMAN",
        "first_name": "WAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301059658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4467752",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.