Individual provider Active NPI

Muqaddam Salim, MD

  • Internal Medicine Physician
  • Madison, WI
National Provider Identifier
1386207108
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.161288 Issued in IL
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

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230120002635 IL Practitioner - Internal Medicine 7416290812 Reassigns benefits to 4 organizations

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
Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians

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 Hospital, Chicago, IL, CCN 140117
  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.161288ILMDInternal Medicine Physician
4301504908MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Medical Services of Wisconsin, S.C. Internal Medicine CurrentSince Apr 18, 2023 Accepting new patients
Prime Healthcare Illinois Medical Group LLC Internal Medicine CurrentSince Jun 26, 2025 Accepting new patients
Chicago Physician Services, P.C. Internal Medicine CurrentSince Nov 20, 2024 Accepting new patients
Carle Health Care Incorporated Internal Medicine CurrentSince Jan 3, 2026 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jan 1, 2023 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jan 1, 2023 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.

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.