Organization Active NPI

Advanced Comprehensive Pain Management, LLC

  • Interventional Pain Medicine Physician
  • Beachwood, OH
National Provider Identifier
1164684338
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
35-071836 Issued in OH
Legal business name
ADVANCED COMPREHENSIVE PAIN MANAGEMENT, LLC
Practice address
24400 Chagrin Blvd
Beachwood, OH 44122-5642
Phone
(440) 995-4500
Fax
(440) 995-4585
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Dr. Sherif A. Salama, MDNPI 1972581403
Title
Owner
Phone
(440) 995-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 35-071836 OH Primary

Addresses

Primary practice location

24400 Chagrin Blvd
Beachwood, OH 44122-5642

Mailing address

24400 Chagrin Blvd Ste 200
Beachwood, OH 44122-5632
Phone (440) 995-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080815000368 OH Part B Supplier - Clinic/Group Practice 7113092784 Receives reassigned benefits from 1 practitioner
Practice locations: Beachwood, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1089227Advanced Comprehensive Pain24400 Chagrin Boulevard, Beachwood, OH 44122Certificate of waiverSep 11, 2026

National Provider Directory

National Provider Directory

Locations

24400 Chagrin Blvd
Beachwood, OH 44122
Phone (440) 995-4500

24400 Chagrin Blvd
Ste 200
Beachwood, OH 44122
Phone (440) 885-4500

4180 Warrensville Center Rd
Bldg A
Warrensville Heights, OH 44122
Phone (216) 341-5341

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDCDDD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1164684338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24400 CHAGRIN BLVD STE 200",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225632",
            "telephone_number": "440-995-4500",
            "fax_number": "440-995-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24400 CHAGRIN BLVD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225642",
            "telephone_number": "440-995-4500",
            "fax_number": "440-995-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED COMPREHENSIVE PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "SALAMA",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-995-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "35-071836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.