Individual provider Active NPI

Wael Abdelsalam

  • Non-emergency Medical Transport (VAN)
  • Aurora, CO
National Provider Identifier
1245611409
Registry record updated Nov 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
41989261 Issued in CO
Practice address
1334 S Kittredge St
Aurora, CO 80017-4010
Phone
(303) 503-3838
NPI assigned
Jun 13, 2015
Last updated
Nov 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 41989261 CO Primary

Addresses

Primary practice location

1334 S Kittredge St
Aurora, CO 80017-4010

Mailing address

1334 S Kittredge St
Aurora, CO 80017-4010
Phone (303) 503-3838

Other practice location 1

7505 Dahlia St
Commerce City, CO 80022-1463
Phone (303) 503-3838

Other identifiers 1

IdentifierTypeStateIssuer
41989261MedicaidCO

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
41989261COMDNon-emergency Medical Transport (VAN)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1434153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667692800000",
    "number": "1245611409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 S KITTREDGE ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800174010",
            "telephone_number": "303-503-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 S KITTREDGE ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800174010",
            "telephone_number": "303-503-3838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7505 Dahlia St",
            "address_purpose": "LOCATION",
            "city": "Commerce City",
            "state": "CO",
            "postal_code": "800221463",
            "country_code": "US",
            "telephone_number": "303-503-3838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELSALAM",
        "first_name": "WAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-13",
        "last_updated": "2022-11-06",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": "41989261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41989261",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.