Active NPI
Suham Dara Salman, N.P.
- Nurse Practitioner
- Roseville, MI
National Provider Identifier
1326360504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704256711
- Practice address
- 18263 E 10 Mile Rd
Suite D
Roseville, MI 48066-5805 - Phone
- (586) 778-4950
- Fax
- (586) 778-4952
- NPI assigned
- Feb 16, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704256711 | MI | Primary |
Addresses
Primary practice location
18263 E 10 Mile Rd
Suite D
Roseville, MI 48066-5805
Mailing address
18263 E 10 Mile Rd
Suite D
Roseville, MI 48066-5805
Phone (586) 778-4950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500E012730 | Other | MI | BCBS GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 87.77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704256711 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Urgent Care PC of Eastside | Current | Accepting new patients |
Locations
19070 E 10 Mile Rd
Eastpointe, MI 48021
Phone (586) 445-0177
Interoperability endpoints
- ssalman1150083@direct.hfhs.org
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.
-
- Internal Medicine Physician
- Eastpointe, MI
- NPI 1477978930
-
- Internal Medicine Physician
- Eastpointe, MI
- NPI 1053787853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1326360504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18263 E 10 MILE RD",
"address_2": "SUITE D",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480665805",
"telephone_number": "586-778-4950",
"fax_number": "586-778-4952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18263 E 10 MILE RD",
"address_2": "SUITE D",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480665805",
"telephone_number": "586-778-4950",
"fax_number": "586-778-4952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALMAN",
"first_name": "SUHAM",
"middle_name": "DARA",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-16",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704256711",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "500E012730",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.