Individual provider Active NPI

Salem K David Jr., M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Tuscaloosa, AL
National Provider Identifier
1316924798
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
17829 Issued in AL
Practice address
1224 McFarland Blvd NE
Suite a
Tuscaloosa, AL 35406-2287
Phone
(205) 759-9930
Fax
(205) 759-9931
NPI assigned
Dec 28, 2005
Last updated
Jan 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 17829 AL Primary

Addresses

Primary practice location

1224 McFarland Blvd NE
Suite a
Tuscaloosa, AL 35406-2287

Mailing address

1224 McFarland Blvd NE
Suite a
Tuscaloosa, AL 35406-2287
Phone (205) 759-9930

Other identifiers 1

IdentifierTypeStateIssuer
158659MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100624000546 AL Practitioner - Otolaryngology 7517993843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Louisiana State University School of Medicine in New Orleans, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Associates ofGroup PAC ID 0042436644, 4 clinicians

Practice addresses (Care Compare)

1224 McFarland Blvd NE
Suite a
Tuscaloosa, AL 35406-2288
Phone (205) 333-3330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.54 of 100Reported as individual
Quality
54.25
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17829ALMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat Associates of Otolaryngology/Facial Plastic Surgery CurrentSince Jul 1, 2014 Accepting new patients

Locations

1224 McFarland Blvd NE
Ste A
Tuscaloosa, AL 35406
Phone (205) 333-3330

Interoperability endpoints

  • Direct secure messaging: salem.david@entusc.direct.medconnect-inc.com

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.

Hospital & facility affiliations 4

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1316924798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 MCFARLAND BLVD NE",
            "address_2": "SUITE A",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062287",
            "telephone_number": "205-759-9930",
            "fax_number": "205-759-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 MCFARLAND BLVD NE",
            "address_2": "SUITE A",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062287",
            "telephone_number": "205-759-9930",
            "fax_number": "205-759-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "SALEM",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "AL",
            "license": "17829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158659",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.