Individual provider Active NPI

Suham Dara Salman, N.P.

  • Nurse Practitioner
  • Roseville, MI
National Provider Identifier
1326360504
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704256711 Issued in MI
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

Updated by the provider on Feb 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500E012730OtherMIBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100316000461 MI Practitioner - Nurse Practitioner 8123153103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
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

LicenseStateTypeSpecialty
4704256711MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Urgent Care PC of Eastside CurrentSince Feb 21, 2019 Accepting new patients

Locations

19070 E 10 Mile Rd
Eastpointe, MI 48021
Phone (586) 445-0177

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.