Individual provider Active NPI

Mohamed H Salami, CNP

  • Family Nurse Practitioner
  • Holland, OH
National Provider Identifier
1356952147
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0026935 Issued in OH
Practice address
6135 Trust Dr Ste 230
Holland, OH 43528-9360
Phone
(567) 703-9869
Fax
(419) 214-1900
NPI assigned
Aug 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0026935 OH Primary

Addresses

Primary practice location

6135 Trust Dr Ste 230
Holland, OH 43528-9360

Mailing address

6892 Forest Run Dr
Temperance, MI 48182-1392
Phone (419) 508-6706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210217001980 OH Practitioner - Nurse Practitioner 7416362827 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Toledo College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Clinic IncorporatedGroup PAC ID 5698673382, 204 clinicians

Practice addresses (Care Compare)

6135 Trust Dr
Suite 230
Holland, OH 43528-9358
Phone (567) 703-8696

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic Incorporated CurrentSince Apr 15, 2021 Accepting new patients
Emergency Physicians of Northwest Ohio Inc. CurrentSince Feb 1, 2021 Accepting new patients
Toledo Clinic Incorporated CurrentSince Apr 15, 2021 Accepting new patients
Observation Physicians of Northwest Ohio LLC CurrentSince Apr 1, 2021 Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients

Locations

6135 Trust Dr
Ste 230
Holland, OH 43528
Phone (567) 703-8696

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

Organizations & group practices 5

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 2

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": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1356952147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6892 FOREST RUN DR",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481821392",
            "telephone_number": "419-508-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 TRUST DR STE 230",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289360",
            "telephone_number": "567-703-9869",
            "fax_number": "419-214-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMI",
        "first_name": "MOHAMED",
        "middle_name": "H",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-14",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0026935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

Verify at the official NPI Registry.