Individual provider Active NPI

Mohammad Sadegh Salehpoor, MD

  • Anesthesiology Physician
  • Galveston, TX
National Provider Identifier
1215550603
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
BP10072215 Issued in TX
Practice address
301 University Blvd
5.504 Jennie Sealy Hospital
Galveston, TX 77555-0877
Phone
(409) 266-7811
NPI assigned
May 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X BP10072215 TX Primary

Addresses

Primary practice location

301 University Blvd
5.504 Jennie Sealy Hospital
Galveston, TX 77555-0877

Mailing address

301 University Blvd
Galveston, TX 77555-5302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240724001506 WA Practitioner - Anesthesiology 2860813532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Anesthesia PCGroup PAC ID 2961399290, 91 clinicians

Practice addresses (Care Compare)

34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (253) 835-8100

Hospital & facility affiliations

  • St Francis Community Hospital Hospital, Federal Way, WA, CCN 500141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10072215TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Anesthesia PC Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients

Locations

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

Organizations & group practices 1

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.

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": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1215550603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "5.504 JENNIE SEALY HOSPITAL",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550877",
            "telephone_number": "409-266-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEHPOOR",
        "first_name": "MOHAMMAD",
        "middle_name": "SADEGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "BP10072215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.