Individual provider Active NPI

Bassel A. Salman, MD

  • Pediatrics Physician
  • Detroit, MI
National Provider Identifier
1407840432
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301062380 Issued in MI
Practice address
3901 Beaubien St
Detroit, MI 48201-2119
Phone
(313) 966-5051
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35066995 OH
Pediatrics Physician 208000000X 4301062380 MI Primary

Addresses

Primary practice location

3901 Beaubien St
Detroit, MI 48201-2119

Mailing address

2514 Spruce Loop Rd
Sylvania, OH 43560-8973
Phone (419) 829-3924

Other practice location 1

44199 Dequindre Rd Ste 615
Troy, MI 48085-1128
Phone (248) 964-9660

Other practice location 2

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000

Other practice location 3

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-5000

Other practice location 4

3535 W 13 Mile Rd Ste 305
Royal Oak, MI 48073-6770
Phone (248) 551-3070

Other practice location 5

3535 W 13 Mile Rd Ste Ll
Royal Oak, MI 48073-6770
Phone (248) 551-3000

Other practice location 6

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-3284

Other identifiers 1

IdentifierTypeStateIssuer
0994125MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bsalman75832@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20061004000513 MI Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 6608872221 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatricians Pediatrics CurrentSince Jun 16, 2011 Accepting new patients
University Pediatricians Pediatrics CurrentSince Jun 16, 2011 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Mar 24, 2018 Accepting new patients
William Beaumont Hospital Past Accepting new patients
Mercy Emergency Care Services, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

4201 Saint Antoine St
Ste 226
Detroit, MI 48201
Phone (313) 966-2064

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

3535 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 551-1010

3535 W 13 Mile Rd
Ste 305
Royal Oak, MI 48073
Phone (248) 423-3144

3601 W 13 Mile Rd
Royal Oak, MI 48073

3535 W 13 Mile Rd
Ste Ll
Royal Oak, MI 48073
Phone (248) 551-3000

44199 Dequindre Rd
Troy, MI 48085
Phone (248) 828-5083

44199 Dequindre Rd
Ste 615
Troy, MI 48085
Phone (248) 964-9660

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Interoperability endpoints

  • Direct secure messaging: bsalman1254253@epic00.shdirect.org
  • Direct secure messaging: bsalman75832@direct.beaumont.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1407840432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 SPRUCE LOOP RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435608973",
            "telephone_number": "419-829-3924",
            "fax_number": "419-251-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012119",
            "telephone_number": "313-966-5051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44199 Dequindre Rd Ste 615",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480851128",
            "country_code": "US",
            "telephone_number": "248-964-9660",
            "fax_number": "248-964-9665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18101 Oakwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244089",
            "country_code": "US",
            "telephone_number": "313-593-7000",
            "fax_number": "313-593-7143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44201 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480851117",
            "country_code": "US",
            "telephone_number": "248-964-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 W 13 Mile Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736770",
            "country_code": "US",
            "telephone_number": "248-551-3070",
            "fax_number": "248-551-3071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 W 13 Mile Rd Ste Ll",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736770",
            "country_code": "US",
            "telephone_number": "248-551-3000",
            "fax_number": "248-551-4784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-898-3284",
            "fax_number": "248-898-9189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALMAN",
        "first_name": "BASSEL",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35066995",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301062380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0994125",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bsalman75832@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "3901 Beaubien St",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482012119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.