Individual provider Active NPI

Mina Salib, MD

  • Interventional Pain Medicine Physician
  • State College, PA
National Provider Identifier
1346734142
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD477361 Issued in PA
Practice address
611 University Dr
State College, PA 16801-6552
Phone
(814) 375-4045
NPI assigned
Jun 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD477361 PA
Interventional Pain Medicine Physician 208VP0014X MD477361 PA Primary
Emergency Medicine Physician 207P00000X MT215858 PA

Addresses

Primary practice location

611 University Dr
State College, PA 16801-6552

Mailing address

611 University Dr
State College, PA 16801-6552

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230522001663 MI Practitioner - Pain Management 3577893445 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Michigan State University College of Human Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Management Group PLLCGroup PAC ID 1153636576, 7 clinicians
Scheurer HospitalGroup PAC ID 1456242296, shared by 10 NPIs, 49 clinicians

Practice addresses (Care Compare)

1501 W Chisholm St
Alpena, MI 49707-1401
Phone (989) 629-8215

170 N Caseville Rd
Pigeion, MI 48755-9704
Phone (989) 453-5282

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT215858PAMDEmergency Medicine Physician
MD477361PAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ayman Tarabishy MD PLLC CurrentSince May 1, 2023 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Aug 15, 2023 Accepting new patients
Mymichigan Medical Center Alpena Emergency Medicine Current Accepting new patients
Scheurer Hospital CurrentSince Dec 24, 2023 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Aug 15, 2023 Accepting new patients
Pain Management Group PLLC Pain Medicine CurrentSince Jul 1, 2023 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Aug 15, 2023 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Aug 15, 2023 Accepting new patients
Mymichigan Medical Center Alpena Interventional Pain Medicine CurrentSince Aug 15, 2023 Accepting new patients
Scheurer Hospital Current Accepting new patients
Mymichigan Medical Center Clare CurrentSince Aug 15, 2023 Accepting new patients
Scheurer Hospital Emergency Medicine Current Accepting new patients
Mymichigan Medical Center Midland Interventional Pain Medicine CurrentSince Aug 15, 2023 Accepting new patients
Mymichigan Medical Center Alma Emergency Medicine Current Accepting new patients
Ayman Tarabishy MD PLLC Pain Medicine CurrentSince May 1, 2023 Accepting new patients
Scheurer Hospital Interventional Pain Medicine CurrentSince Dec 24, 2023 Accepting new patients
Scheurer Hospital Past Accepting new patients
Mymichigan Medical Center Alpena Past Accepting new patients
Mymichigan Medical Center Clare Past Accepting new patients
Scheurer Hospital Interventional Pain Medicine Past Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

1469 Mary Ct
Alma, MI 48801
Phone (989) 463-2150

315 E Warwick Dr
Ste C
Alma, MI 48801
Phone (989) 463-9300

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

700 W 5th St
Clare, MI 48617
Phone (989) 386-9911

602 Beech St
Ste 2240
Clare, MI 48617
Phone (989) 629-8215

42645 Garfield Rd
Ste 103
Clinton Twp, MI 48038
Phone (586) 286-0050

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

34020 7 Mile Rd
Ste 101
Livonia, MI 48152
Phone (248) 516-5016

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

555 W Wackerly St
Ste 3625
Midland, MI 48640
Phone (989) 832-4202

108 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-7301

168 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-2141

170 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-3223

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

640 Court St
West Branch, MI 48661
Phone (989) 343-3730

Interoperability endpoints

  • Direct secure messaging: msalib154871@direct.covenanthealthcare.com
  • Direct secure messaging: msalib141681@mymichiganhealth.midirect.net

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1346734142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 UNIVERSITY DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 UNIVERSITY DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016552",
            "telephone_number": "814-375-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIB",
        "first_name": "MINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-15",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD477361",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "MD477361",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT215858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.