Individual provider Active NPI

Salman Rahim, MD

  • Emergency Medicine Physician
  • Shreveport, LA
National Provider Identifier
1306377619
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
S6487 Issued in TX
Practice address
1501 Kings Hwy
Emergency Medicine
Shreveport, LA 71103-4228
Phone
(318) 626-1034
NPI assigned
Mar 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X S6487 TX Primary

Addresses

Primary practice location

1501 Kings Hwy
Emergency Medicine
Shreveport, LA 71103-4228

Mailing address

1501 Kings Hwy
Emergency Medicine
Shreveport, LA 71103-4228
Phone (318) 626-1034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190724000074 LA Practitioner - Emergency Medicine 7113291139 Reassigns benefits to 3 organizations
I20200713001759 TX Practitioner - Emergency Medicine 7113291139 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Texas Emergency Physicians PLLCGroup PAC ID 8527420306, 195 clinicians

Practice addresses (Care Compare)

1007 S William St
Atlanta, TX 75551-3245
Phone (903) 799-3000

Hospital & facility affiliations

  • Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S6487TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Carroll Parish Hospital CurrentSince Jan 22, 2020 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Feb 15, 2020 Accepting new patients
Acute Care Specialists Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Union Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
East Carroll Parish Hospital CurrentSince Jan 22, 2020 Accepting new patients
Northeast Texas Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Coushatta ER Physicians Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients

Locations

1635 Marvel St
Coushatta, LA 71019
Phone (318) 932-2000

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931

336 N Hood St
Lk Providence, LA 71254
Phone (318) 559-4023

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

120 E Loop 281
Longview, TX 75605
Phone (903) 500-7321

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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 1

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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1306377619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "EMERGENCY MEDICINE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-626-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "EMERGENCY MEDICINE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-626-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHIM",
        "first_name": "SALMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S6487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.