NPIMap

Individual provider Active NPI

Mourhege M. Al-Saloum, M.D.

  • Nephrology Physician
  • Bronx, NY
National Provider Identifier
1417922337
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
196033 Issued in NY
Practice address
1874 Pelham Pkwy S
Bronx, NY 10461-3733
Phone
(718) 931-5800
NPI assigned
Feb 22, 2006
Last updated
Apr 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 196033 NY Primary

Addresses

Primary practice location

1874 Pelham Pkwy S
Bronx, NY 10461-3733

Mailing address

1874 Pelham Pkwy S
Bronx, NY 10461-3733
Phone (718) 931-5800

Other identifiers 1

IdentifierTypeStateIssuer
01665690MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050504001231 NY Practitioner - NephrologyPractitioner - Internal Medicine 9638119027 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

18219 Horace Harding Expy
Fresh Meadows, NY 11365-2242
Phone (718) 670-2903

1874 Pelham Pkwy S
Bronx, NY 10461-3733
Phone (718) 931-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
22.96 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.54

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newyork-Presbyterian/Queens CurrentSince Sep 27, 2005 Accepting new patients
Newyork-Presbyterian-Queens CurrentSince Sep 27, 2005 Accepting new patients
Nephrology Associates, P.C. Nephrology Past Accepting new patients

Locations

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

18219 Horace Harding Expy
Fresh Meadows, NY 11365
Phone (718) 670-1415

14445 87th Ave
Jamaica, NY 11435
Phone (718) 239-0030

17561 Hillside Ave
Ste 402
Jamaica, NY 11432
Phone (718) 670-1021

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: moa9007@direct.nyp.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1417922337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613733",
            "telephone_number": "718-931-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613733",
            "telephone_number": "718-931-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-SALOUM",
        "first_name": "MOURHEGE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "196033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01665690",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.