Individual provider Active NPI

A Salam Al-Hafidh, M.D.

  • Internal Medicine Physician
  • Richland Hills, TX
National Provider Identifier
1366417842
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H2979 Issued in TX
Practice address
7505 Glenview Dr Ste 151
Richland Hills, TX 76180-8335
Phone
(817) 284-9922
Fax
(817) 284-9926
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H2979 TX Primary

Addresses

Primary practice location

7505 Glenview Dr Ste 151
Richland Hills, TX 76180-8335

Mailing address

7505 Glenview Dr Ste 151
Richland Hills, TX 76180-8335
Phone (817) 284-9922

Other identifiers 6

IdentifierTypeStateIssuer
8BF293OtherTXBCBS
P00127909OtherMEDICARE RAILROAD
0060HUOtherTXBCBS
132219008MedicaidTX
132219007MedicaidTX
P00803765OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100115000271 TX Practitioner - Internal Medicine 2668514514

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaner Medical Group PA Internal Medicine Past Accepting new patients
Waterstone Wellness, PLLC Internal Medicine PastSince Sep 1, 2023 Accepting new patients

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1366417842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 GLENVIEW DR STE 151",
            "city": "RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808335",
            "telephone_number": "817-284-9922",
            "fax_number": "817-284-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 GLENVIEW DR STE 151",
            "city": "RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808335",
            "telephone_number": "817-284-9922",
            "fax_number": "817-284-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-HAFIDH",
        "first_name": "A SALAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H2979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BF293",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00127909",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0060HU",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132219008",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132219007",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00803765",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.