Individual provider Active NPI

Maan Salloum, MD

  • Anesthesiology Physician
  • Bellevue, WA
National Provider Identifier
1386741601
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD00016874 Issued in WA
Practice address
1260 116TH Ave NE Ste 110
Bellevue, WA 98004-3800
Phone
(206) 359-2152
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD00016874 WA Primary

Addresses

Primary practice location

1260 116TH Ave NE Ste 110
Bellevue, WA 98004-3800

Mailing address

8215 64TH Street CT W
University Place, WA 98467-3911
Phone (253) 380-6551

Other practice location 1

155 Lilly Rd NE Ste B
Olympia, WA 98506-5028
Phone (206) 538-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20101230000565 WA Practitioner - Anesthesiology 8729276076 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00016874WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Care Physicians PLLC CurrentSince Dec 20, 2023 Accepting new patients
Pain Care Physicians PLLC CurrentSince Dec 20, 2023 Accepting new patients
Sound Anesthesia, LLP Anesthesiology Past Accepting new patients

Locations

1260 116th Ave NE
Ste 110
Bellevue, WA 98004
Phone (425) 455-7225

155 Lilly Rd NE
Ste B
Olympia, WA 98506

801 SW 16th St
Ste 121
Renton, WA 98057
Phone (206) 805-8885

1415 N Houk Rd
Ste B
Spokane Valley, WA 99216
Phone (509) 381-4500

Organizations & group practices 4

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1386741601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 64TH STREET CT W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984673911",
            "telephone_number": "253-380-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 116TH AVE NE STE 110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043800",
            "telephone_number": "206-359-2152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Lilly Rd NE Ste B",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065028",
            "country_code": "US",
            "telephone_number": "206-538-6300",
            "fax_number": "206-538-6301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALLOUM",
        "first_name": "MAAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00016874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.