Individual provider Active NPI

Mohamed I Salem, MD

  • Interventional Cardiology Physician
  • Bethlehem, PA
National Provider Identifier
1366517336
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD420956 Issued in PA
Practice address
2649 Schoenersville Rd Ste 301
Bethlehem, PA 18017-7332
Phone
(484) 884-4799
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD420956 PA
Interventional Cardiology Physician 207RI0011X MD420956 PA Primary

Addresses

Primary practice location

2649 Schoenersville Rd Ste 301
Bethlehem, PA 18017-7332

Mailing address

2775 Schoenersville Rd
Bethlehem, PA 18017-7307
Phone (610) 861-8080

Other practice location 1

2775 Schoenersville Rd
Bethlehem, PA 18017-7307
Phone (610) 861-8080

Other identifiers 2

IdentifierTypeStateIssuer
0019683790009MedicaidPA
03196476MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070208000020 PA Practitioner - Cardiovascular Disease (Cardiology) 8628090594 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

2649 Schoenersville Rd
Suite 301
Bethlehem, PA 18017-7332
Phone (610) 866-2233

450 S Washington St
Suite a
Gettysburg, PA 17325-2500
Phone (717) 339-3105

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting50
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD420956PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Oct 14, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 5, 2023 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Feb 1, 2025 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Feb 1, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 5, 2023 Accepting new patients
Wellspan Medical Group CurrentSince Oct 14, 2024 Accepting new patients

Locations

2649 Schoenersville Rd
Ste 301
Bethlehem, PA 18017
Phone (484) 884-4799

2775 Schoenersville Rd
Bethlehem, PA 18017

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

450 S Washington St
Ste A
Gettysburg, PA 17325
Phone (717) 339-3105

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: msalem829633@direct2.lvhn.org

Organizations & group practices 9

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1366517336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 SCHOENERSVILLE RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177307",
            "telephone_number": "610-861-8080",
            "fax_number": "610-861-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 SCHOENERSVILLE RD STE 301",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177332",
            "telephone_number": "484-884-4799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2775 Schoenersville Rd",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180177307",
            "country_code": "US",
            "telephone_number": "610-861-8080",
            "fax_number": "610-861-0854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALEM",
        "first_name": "MOHAMED",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD420956",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD420956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019683790009",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03196476",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.