Individual provider Active NPI

Baheyeldin M Salem, M.D.

  • Pediatric Hematology & Oncology Physician
  • Minneapolis, MN
National Provider Identifier
1194036889
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
MD040686 Issued in DC
Practice address
2900 Thomas Ave S
Apt # 2230
Minneapolis, MN 55416-4477
Phone
(217) 220-4965
NPI assigned
Jun 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X MD040686 DC Primary

Addresses

Primary practice location

2900 Thomas Ave S
Apt # 2230
Minneapolis, MN 55416-4477

Mailing address

2900 Thomas Ave S
Apt # 2230
Minneapolis, MN 55416-4477
Phone (217) 220-4965

Other identifiers 1

IdentifierTypeStateIssuer
1194036889MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20160627000349 DC Practitioner - Pediatric Medicine 1850695172 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD040686DCMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital CurrentSince Jun 6, 2016 Accepting new patients
Children'S Hospital CurrentSince Jun 6, 2016 Accepting new patients
Children'S Hospital Current Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

Interoperability endpoints

  • Direct secure messaging: bsalem356340@prddirect.texaschildrens.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1194036889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 THOMAS AVE S",
            "address_2": "APT # 2230",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164477",
            "telephone_number": "217-220-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 THOMAS AVE S",
            "address_2": "APT # 2230",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164477",
            "telephone_number": "217-220-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEM",
        "first_name": "BAHEYELDIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "DC",
            "license": "MD040686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194036889",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.