Individual provider Active NPI

Taimur Saleem, MD

  • Vascular Surgery Physician
  • Jackson, MS
National Provider Identifier
1184911612
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25790 Issued in MS
Practice address
971 Lakeland Dr Ste 401
Jackson, MS 39216-4607
Phone
(601) 939-4230
Fax
(601) 664-6694
NPI assigned
Jul 5, 2011
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 25790 MS Primary

Addresses

Primary practice location

971 Lakeland Dr Ste 401
Jackson, MS 39216-4607

Mailing address

Gonda Goldschmied Vascular Ctr
200 UCLA Medical Plaza, Suite 526
Los Angeles, CA 90095-0001
Phone (310) 825-8778

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20180830001763 MS Practitioner - Vascular Surgery 6204186950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seshadri Raju, M.D., PA.Group PAC ID 3971674896, 8 clinicians

Practice addresses (Care Compare)

971 Lakeland Dr
Suite 401
Jackson, MS 39216-4607
Phone (601) 939-4230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.54 of 100Reported as group
Quality
74.69
Improvement activities
40
Cost
68.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seshadri Raju, M.D., PA. Vascular Surgery CurrentSince Jun 1, 2018 Accepting new patients
NJ Vip Medical Services LLC PastSince Jan 28, 2024 Accepting new patients

Locations

971 Lakeland Dr
Ste 401
Jackson, MS 39216
Phone (601) 939-4230

Interoperability endpoints

  • Direct secure messaging: tsaleem2548977@direct.casso.us.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1184911612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GONDA GOLDSCHMIED VASCULAR CTR",
            "address_2": "200 UCLA MEDICAL PLAZA, SUITE 526",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 401",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164607",
            "telephone_number": "601-939-4230",
            "fax_number": "601-664-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEEM",
        "first_name": "TAIMUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MS",
            "license": "25790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.