Northlake Nephrology PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

200200166 Issued in NC

Legal business name

NORTHLAKE NEPHROLOGY PLLC

Practice address

1665 Davie Ave
Statesville, NC 28677-3519

Phone

(704) 978-0052

Fax

(704) 978-0054

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Sinasi Salman, MDNPI 1962427823

Title

Medical Doctor

Phone

(704) 978-0052

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Sinasi Salman, MD

  • Internal Medicine Physician
  • Salisbury, NC
  • NPI 1962427823

  Nephrology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1174548028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HENRY LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178767",
            "telephone_number": "704-660-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773519",
            "telephone_number": "704-978-0052",
            "fax_number": "704-978-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAKE NEPHROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "SALMAN",
        "authorized_official_first_name": "SINASI",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "704-978-0052",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "200200166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89131MK",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89131MK",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF7259",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Carolina CVS Pharmacy LLC
• North Carolina CVS Pharmacy LLC
• North Carolina Emergency Partners LLC
• North Carolina Home Care, Inc
• North Carolina Support Services
• Northlake Pediatric Care PA
• Northland Hearing Centers, Inc.
• Novant Health Davis Medical Center, LLC
• Novant Health Davis Medical Center, LLC
• Novant Health Davis Medical Center, LLC

• Nephrology Physician in Statesville, NC
• Providers in Statesville, NC by specialty
• Nephrology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.