Individual provider Active NPI

Samy F Saleeb, M.D.

  • Diagnostic Radiology Physician
  • Fairhope, AL
National Provider Identifier
1366424103
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
14507 Issued in AL
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

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
511-45902OtherALBCBS
51093967OtherBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101208000440 AL Practitioner - Diagnostic Radiology 6608063268 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Coastal Radiology, PC CurrentSince Jun 3, 2014 Accepting new patients
South Baldwin Diagnostic Imagine Associates, P.C. PastSince Mar 24, 2025 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.

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

Verify at the official NPI Registry.