NPIMap

Individual provider Active NPI

Abu N Salahuddin, MD

  • Internal Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1376596965
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9700742 Issued in NC
Practice address
2149 Valleygate Dr
Suite 102
Fayetteville, NC 28304-3666
Phone
(910) 484-5366
Fax
(910) 484-5573
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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 9700742 NC Primary

Addresses

Primary practice location

2149 Valleygate Dr
Suite 102
Fayetteville, NC 28304-3666

Mailing address

2149 Valleygate Dr
Suite 102
Fayetteville, NC 28304-3666
Phone (910) 484-5366

Other identifiers 1

IdentifierTypeStateIssuer
891067MMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101201000679 NC Practitioner - Internal Medicine 4385830454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Internal Medicine IncGroup PAC ID 1658331327, 3 clinicians

Practice addresses (Care Compare)

2149 Valleygate Dr
Suite 102
Fayetteville, NC 28304-3666
Phone (910) 484-5366

Hospital & facility affiliations

  • Amedisys Home Health of Fayetteville Home health agency, Fayetteville, NC, CCN 347132
  • Aveanna Home Health Home health agency, Fayetteville, NC, CCN 347241
  • 3HC Home health agency, Goldsboro, NC, CCN 347104
  • Liberty Home Care, LLC Home health agency, Fayetteville, NC, CCN 347249
  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9700742NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc CurrentSince Feb 26, 2018 Accepting new patients
Valley Internal Medicine, Inc. Internal Medicine CurrentSince Jan 1, 2001 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc Internal Medicine CurrentSince Feb 26, 2018 Accepting new patients
Laurinburg Radiology Associates PA PastSince Jan 1, 2001 Accepting new patients

Locations

2149 Valleygate Dr
Ste 102
Fayetteville, NC 28304
Phone (910) 484-5366

3427 Melrose Rd
Fayetteville, NC 28304
Phone (910) 484-5366

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1376596965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 VALLEYGATE DR",
            "address_2": "SUITE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043666",
            "telephone_number": "910-484-5366",
            "fax_number": "910-484-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 VALLEYGATE DR",
            "address_2": "SUITE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043666",
            "telephone_number": "910-484-5366",
            "fax_number": "910-484-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAHUDDIN",
        "first_name": "ABU",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9700742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891067M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.