Individual provider Active NPI

Naim Joseph Salloum, M.D.

  • Radiation Oncology Physician
  • Hattiesburg, MS
National Provider Identifier
1205870656
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
11650 Issued in MS
Practice address
301 S 28TH Ave
Hattiesburg, MS 39401-7233
Phone
(601) 288-1700
Fax
(601) 288-1715
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 11650 MS Primary

Addresses

Primary practice location

301 S 28TH Ave
Hattiesburg, MS 39401-7233

Mailing address

PO Box 15158
Hattiesburg, MS 39404-5158
Phone (601) 288-1700

Other identifiers 1

IdentifierTypeStateIssuer
00116005MedicaidMS

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
I20071210000461 MS Practitioner - Radiation Oncology 4486743770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Care of Hattiesburg PLLCGroup PAC ID 5294146791, 4 clinicians

Practice addresses (Care Compare)

301 S 28TH Ave
Hattiesburg, MS 39401-7233
Phone (601) 288-1701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.06 of 100Reported as group
Quality
72.24
Improvement activities
40
Cost
77.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care of Hattiesburg PLLC Radiation Oncology CurrentSince Jan 1, 2021 Accepting new patients
Comprehensive Radiology Services, PLLC PastSince Mar 8, 2001 Accepting new patients

Locations

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

301 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-1700

Interoperability endpoints

  • Direct secure messaging: nsalloum@direct.mhg.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 3

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1205870656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15158",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394045158",
            "telephone_number": "601-288-1700",
            "fax_number": "601-288-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017233",
            "telephone_number": "601-288-1700",
            "fax_number": "601-288-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLOUM",
        "first_name": "NAIM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MS",
            "license": "11650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116005",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.