Active NPI
Samer Abdelwahab Saleh, M.D.
- Pulmonary Disease Physician
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 8449093-1205
- Practice address
- 395 W Cougar Blvd FL 5
Provo, UT 84604-3323 - Phone
- (801) 357-7291
- NPI assigned
- Sep 14, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 8449093-1205 | UT | |
| Pulmonary Disease Physician | 207RP1001X | A81808 | CA | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 8449093-1205 | UT | |
| Pulmonary Disease Physician | 207RP1001X | 8449093-1205 | UT | Primary |
Addresses
Primary practice location
395 W Cougar Blvd FL 5
Provo, UT 84604-3323
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 357-7291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5812 | Other | SD | SD STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | samer.saleh@direct.imail.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- 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
- Pulmonary Disease
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
170 N 1100
American Fork, UT 84003-2096
Phone (801) 357-7291
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8449093-1205 | UT | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Fountain Valley Group Services PC | Critical Care Medicine | Past | Accepting new patients |
| Avera St. Lukes | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
395 W Cougar Blvd
Fl 5
Provo, UT 84604
Phone (801) 357-4945
852 N 500 W
Provo, UT 84604
Phone (801) 357-4417
1055 N 300 W
Ste 500
Provo, UT 84604
Phone (801) 357-7291
395 W Cougar Blvd
Ste 504
Provo, UT 84604
Phone (801) 357-7291
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Podiatrist
- Ogden, UT
- NPI 1003946823
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Nephrology Physician
- Aberdeen, SD
- NPI 1477594430
-
- Critical Care Medicine (Internal Medicine) Physician
- Indio, CA
- NPI 1194670349
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Price, UT
- NPI 1417064205
-
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
-
- General Acute Care Hospital
- Richfield, UT
- NPI 1336256775
-
- General Acute Care Hospital
- American Fork, UT
- NPI 1912014358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1205931037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "801-357-7291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 W COUGAR BLVD FL 5",
"city": "PROVO",
"state": "UT",
"postal_code": "846043323",
"telephone_number": "801-357-7291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEH",
"first_name": "SAMER",
"middle_name": "ABDELWAHAB",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "UT",
"license": "8449093-1205",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A81808",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "UT",
"license": "8449093-1205",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "UT",
"license": "8449093-1205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SD STATE LICENSE",
"identifier": "5812",
"state": "SD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "samer.saleh@direct.imail.org",
"affiliation": "N",
"address_1": "1055 N 300 W",
"address_2": "# 500",
"city": "Provo",
"state": "UT",
"country_code": "US",
"postal_code": "846043344",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.