Active NPI
Khaled Saleh, MD
- Pulmonary Disease Physician
- Phoenix, AZ
National Provider Identifier
1215025671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 29262
- Practice address
- 3781 E Ringtail Way
Phoenix, AZ 85050-5008 - Phone
- (480) 668-3065
- Fax
- (480) 668-3065
- NPI assigned
- Oct 11, 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 29262 | AZ | Primary |
Addresses
Primary practice location
3781 E Ringtail Way
Phoenix, AZ 85050-5008
Mailing address
1112 E. McDowell Rd.
Phoenix, AZ 85006
Phone (602) 258-4951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 575053 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398556800000",
"number": "1215025671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 E. MCDOWELL RD.",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85006",
"telephone_number": "602-258-4951",
"fax_number": "602-340-1853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3781 E RINGTAIL WAY",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850505008",
"telephone_number": "480-668-3065",
"fax_number": "480-668-3065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEH",
"first_name": "KHALED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2014-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AZ",
"license": "29262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "575053",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.