Active NPI
Muqaddam Salim, MD
- Internal Medicine Physician
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036.161288
- Practice address
- 801 Braxton PL
Madison, WI 53715-1415 - Phone
- (608) 260-2700
- NPI assigned
- Apr 17, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301504908 | MI | |
| Internal Medicine Physician | 207R00000X | 036.161288 | IL | Primary |
Addresses
Primary practice location
801 Braxton PL
Madison, WI 53715-1415
Mailing address
801 Braxton PL
Madison, WI 53715-1415
Phone (608) 260-2700
Other practice location 1
221 NE Glen Oak Ave
Peoria, IL 61636-2217
Phone (309) 672-5522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N River Rd
Des Plaines, IL 60016-1209
Phone (847) 297-1800
7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 774-8000
Hospital & facility affiliations
- Amita Health Resurrection Medical Center
- Saint Francis Hospital-Evanston
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.161288 | IL | MD | Internal Medicine Physician |
| 4301504908 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hni Medical Services of Wisconsin, S.C. | Internal Medicine | Current | Accepting new patients |
| Prime Healthcare Illinois Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Chicago Physician Services, P.C. | Internal Medicine | Current | Accepting new patients |
| Carle Health Care Incorporated | Internal Medicine | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients |
Locations
1801 W Olympic Blvd
#2637
Pasadena, CA 91199
1801 W Olympic Blvd
#2636
Pasadena, CA 91199
1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756
100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780
7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977
100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800
201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
120 NE Glen Oak Ave
Ste 400
Peoria, IL 61603
Phone (309) 671-3519
815 Main St
Ste A1
Peoria, IL 61602
221 NE Glen Oak Ave
Ste 514W
Peoria, IL 61636
Phone (309) 672-5733
5401 N Knoxville Ave
Ste 203
Peoria, IL 61614
Phone (309) 589-0600
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
801 Braxton Pl
Madison, WI 53715
Phone (608) 251-1010
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Des Plaines, IL
- NPI 1023837689
Internal Medicine
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1538921424
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Internal Medicine Physician
- Madison, WI
- NPI 1194363135
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- Psychiatric Hospital Unit
- Peoria, IL
- NPI 1275583155
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1811735228
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1982442398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1386207108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 BRAXTON PL",
"city": "MADISON",
"state": "WI",
"postal_code": "537151415",
"telephone_number": "608-260-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 BRAXTON PL",
"city": "MADISON",
"state": "WI",
"postal_code": "537151415",
"telephone_number": "608-260-2700"
}
],
"practiceLocations": [
{
"address_1": "221 NE Glen Oak Ave",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616362217",
"country_code": "US",
"telephone_number": "309-672-5522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALIM",
"first_name": "MUQADDAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-17",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301504908",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.161288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.