Harris Salim, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

45059 Issued in AZ

Practice address

3636 Stockton Hill Rd
Kingman, AZ 86409-0514

Phone

(928) 757-3680

Fax

(928) 757-3614

NPI assigned

Mar 16, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Internal MedicineAlso: Family Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salim Medical LLCGroup PAC ID 6709156961, 3 clinicians

Salim Medical Urgent Care IncGroup PAC ID 8022376698, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Family Care Home Health Agency Home health agency, Bullhead City, AZ, CCN 037477
• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: harris.salim.1@29712.direct.athenahealth.com

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.

• Salim Medical Urgent Care Inc

  • Urgent Care Clinic/Center
  • Kingman, AZ
  • NPI 1306356738
  Medicare reassignment Care Compare group NPD
• Salim Medical, LLC

  • Internal Medicine Physician
  • Kingman, AZ
  • NPI 1659891786
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Family Care Home Health & Hospice LLC

  • Home Health Agency
  • Bullhead City, AZ
  • NPI 1053834887
  Care Compare affiliation
• Kingman Healthcare, Inc

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Care Compare affiliation

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1144461591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090514",
            "telephone_number": "928-757-3680",
            "fax_number": "928-757-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090514",
            "telephone_number": "928-757-3680",
            "fax_number": "928-757-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIM",
        "first_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-16",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "45059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "643802",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hesham Sahawneh, DO
• Annalisa Saiz, BSN
• Salim Medical Urgent Care Inc
• Salim Medical, LLC
• Attiya Salim, M.D.
• San Luis Walk-in Clinic, Inc.
• Carol B San Vicente, RPH
• Tori Sandoval, D.M.D.
• Santos Interventional Pain Medicine, P.C.
• Michelle Lee Sapp

• Internal Medicine Physician in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.