Active NPI
David Salm, MD
- Internal Medicine Physician
- Mystic, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 028479
- Practice address
- 11 Main St Ste 11-205
Mystic, CT 06355-3654 - Phone
- (860) 421-1090
- Fax
- (860) 421-1091
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 028479 | CT | Primary |
Addresses
Primary practice location
11 Main St Ste 11-205
Mystic, CT 06355-3654
Mailing address
11 Main St Ste 11-205
Mystic, CT 06355-3654
Phone (860) 421-1090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- State University of Ny Upstate Medical University, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11 Main St
Suite 11 205
Mystic, CT 06355-3654
Phone (860) 421-1090
Hospital & facility affiliations
- Yale New Haven Health - Health at Home Southeast
- Masonicare Home Health & Hospice, Inc
- Lawrence & Memorial Hospital
- William W Backus Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028479 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Physicians PC | Internal Medicine | Current | Accepting new patients |
| Value in Prevention of Connecticut PLLC | Internal Medicine | Current | Accepting new patients |
Locations
3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200
4 Farm Springs Rd
Farmington, CT 06032
Phone (860) 284-5200
55 Nye Rd
Glastonbury, CT 06033
Phone (860) 430-1132
11 Main St
Ste 11205
Mystic, CT 06355
Phone (860) 421-1090
11 Main St
Ste 11
Mystic, CT 06355
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
4950 Communication Ave
Ste 100
Boca Raton, FL 33431
Phone (561) 982-4300
Interoperability endpoints
- david.salm.npi1184727273.phpct@direct.optumcare.masshiway.net
- david.salm.1@31695.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Mystic, CT
- NPI 1487495313
CT, Internal Medicine
-
- Family Medicine Physician
- Farmington, CT
- NPI 1720194053
CT, Internal Medicine
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New London, CT
- NPI 1073530879
Hospital
-
- General Acute Care Hospital
- New London, CT
- NPI 1700092459
Hospital
-
- Home Health Agency
- Wallingford, CT
- NPI 1710976220
-
- Home Health Agency
- Waterford, CT
- NPI 1265490940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1184727273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 MAIN ST STE 11-205",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063553654",
"telephone_number": "860-421-1090",
"fax_number": "860-421-1091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MAIN ST STE 11-205",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063553654",
"telephone_number": "860-421-1090",
"fax_number": "860-421-1091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALM",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "028479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mystic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.