Active NPI
Samy F Saleeb, M.D.
- Diagnostic Radiology Physician
- Fairhope, AL
National Provider Identifier
1366424103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 14507
- Practice address
- 750 Morphy Ave
Fairhope, AL 36532-1812 - Phone
- (251) 928-7205
- Fax
- (251) 476-5460
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 14507 | AL | Primary |
Addresses
Primary practice location
750 Morphy Ave
Fairhope, AL 36532-1812
Mailing address
PO Box 9369
Mobile, AL 36691-0369
Phone (251) 460-0326
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511-45902 | Other | AL | BCBS |
| 51093967 | Other | BCBS ALA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Coastal Radiology, PC | Current | Accepting new patients | |
| South Baldwin Diagnostic Imagine Associates, P.C. | Past | Accepting new patients |
Locations
750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375
5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415
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.
-
- Specialist
- Mobile, AL
- NPI 1093796781
-
- Specialist
- Foley, AL
- NPI 1124000856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476403200000",
"number": "1366424103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9369",
"city": "MOBILE",
"state": "AL",
"postal_code": "366910369",
"telephone_number": "251-460-0326",
"fax_number": "251-460-2846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 MORPHY AVE",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365321812",
"telephone_number": "251-928-7205",
"fax_number": "251-476-5460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEEB",
"first_name": "SAMY",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2016-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": "14507",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "511-45902",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ALA",
"identifier": "51093967",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.