NPIMap

Individual provider Active NPI

Tipu Faiz Muhammed Saleem, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Lititz, PA
National Provider Identifier
1215934609
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD072815L Issued in PA
Practice address
1575 Highlands Dr
Suite 206
Lititz, PA 17543-7507
Phone
(717) 568-8886
Fax
(717) 627-2727
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 23268 WV
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD072815L PA Primary

Addresses

Primary practice location

1575 Highlands Dr
Suite 206
Lititz, PA 17543-7507

Mailing address

1575 Highlands Dr
Suite 206
Lititz, PA 17543-7507
Phone (717) 568-8886

Other identifiers 3

IdentifierTypeStateIssuer
073454OtherWVMEDICARE ID TYPE UNPECIFIED
1008171760003MedicaidWV
100817176-0004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031103000426 PA Practitioner - EndocrinologyPractitioner - Internal Medicine 8325950959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Institute of Endocrinology LLCGroup PAC ID 6204002298, 2 clinicians

Practice addresses (Care Compare)

1575 Highlands Dr
Suite 206
Lititz, PA 17543-7507
Phone (717) 568-8886

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.28 of 100Reported as group
Quality
73.37
Improvement activities
40
Cost
79.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD072815LPAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Institute of Endocrinology LLC Endocrinology, Diabetes & Metabolism CurrentSince Dec 1, 2011 Accepting new patients
Reading Hospital Past Accepting new patients

Locations

175 Martin Ave
Ste 340
Ephrata, PA 17522
Phone (717) 733-4667

1575 Highlands Dr
Ste 206
Lititz, PA 17543
Phone (717) 568-8886

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJJGBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FJJGBA/Endpoint/FJJGBA

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 and National Provider Directory roles.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1215934609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 HIGHLANDS DR",
            "address_2": "SUITE 206",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437507",
            "telephone_number": "717-568-8886",
            "fax_number": "717-627-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 HIGHLANDS DR",
            "address_2": "SUITE 206",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437507",
            "telephone_number": "717-568-8886",
            "fax_number": "717-627-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEEM",
        "first_name": "TIPU FAIZ",
        "middle_name": "MUHAMMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WV",
            "license": "23268",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD072815L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNPECIFIED",
            "identifier": "073454",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008171760003",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100817176-0004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lititz, PA

Sources for this page

Verify at the official NPI Registry.