Individual provider Active NPI

Mayer Salama, DPM

  • Podiatrist
  • Woodhaven, MI
National Provider Identifier
1407939432
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MS000918 Issued in MI
Practice address
18600 Van Horn Rd
Woodhaven, MI 48183-3828
Phone
(734) 675-2440
Fax
(734) 675-6738
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MS000918 MI Primary

Addresses

Primary practice location

18600 Van Horn Rd
Woodhaven, MI 48183-3828

Mailing address

2200 Monroe St
Dearborn, MI 48124-3058
Phone (313) 274-0990

Other identifiers 1

IdentifierTypeStateIssuer
1799427MedicaidMI

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080129000700 MI Practitioner - Podiatry 2466534425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel Salama DPM PCGroup PAC ID 2365514296, 4 clinicians

Practice addresses (Care Compare)

23800 Orchard Lake Rd
Suite 201
Farmington Hills, MI 48336-2562
Phone (248) 474-0040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue13
Removal of skin lesions1-10
Removal of nail tissue68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MS000918MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Salama DPM PC Podiatrist CurrentSince Feb 18, 2018 Accepting new patients

Locations

6770 Dixie Hwy
Ste 101
Clarkston, MI 48346
Phone (248) 625-1110

2200 Monroe St
Ste 1
Dearborn, MI 48124
Phone (313) 274-0990

2200 Monroe St
Dearborn, MI 48124
Phone (313) 274-0990

2200 Monroe St
Ste 2
Dearborn, MI 48124
Phone (313) 565-8700

3408 West Rd
Trenton, MI 48183
Phone (313) 676-4664

Organizations & group practices 1

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1407939432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243058",
            "telephone_number": "313-274-0990",
            "fax_number": "313-274-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18600 VAN HORN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481833828",
            "telephone_number": "734-675-2440",
            "fax_number": "734-675-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMA",
        "first_name": "MAYER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "MS000918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1799427",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, MI

Sources for this page

Verify at the official NPI Registry.