Nour Khalid Abu Saleh, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

304973 Issued in LA

Practice address

2915 Betin Ave
Monroe, LA 71201-7257

Phone

(318) 651-9945

Fax

(318) 322-5141

NPI assigned

Apr 8, 2013

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Primary Health Services Center

  dba PHSC West Monroe Family Health Center

  • Federally Qualified Health Center (FQHC)
  • West Monroe, LA
  • NPI 1104384205
  NPD (past)
• Metropolitan Pediatrics

  • Pediatrics Physician
  • Arlington, VA
  • NPI 1003908914
  NPD (past)

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255774477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 BETIN AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017257",
            "telephone_number": "318-388-1250",
            "fax_number": "318-388-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 BETIN AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017257",
            "telephone_number": "318-651-9945",
            "fax_number": "318-322-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABU SALEH",
        "first_name": "NOUR",
        "middle_name": "KHALID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "LA",
            "license": "304973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2439715",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Absolute Care, Inc.
• Absolute Care, Inc.
• Absolute Care, Inc.
• Absolute Care, Inc.
• Absolute Care,Inc.
• Academy of Collaborative Education
• Access to Recovery
• Carolyn Ozichi Achilihu, CFNP
• Godfrey Achilihu, MD FACC
• Maicee Mercer Acosta, BCBA

• Pediatric Adolescent Medicine Physician in Monroe, LA
• Providers in Monroe, LA by specialty
• Pediatric Adolescent Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.