Individual provider Active NPI

Mudassir Mubeen Saleemi, M.D.

  • Family Medicine Physician
  • Tucumcari, NM
National Provider Identifier
1437175379
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2002-0500 Issued in NM
Practice address
1302 E Main St
Tucumcari, NM 88401-2508
Phone
(505) 461-2200
Fax
(505) 461-2213
NPI assigned
Jul 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2002-0500 NM Primary

Addresses

Primary practice location

1302 E Main St
Tucumcari, NM 88401-2508

Mailing address

2109 S 8TH St
Tucumcari, NM 88401-3752
Phone (505) 461-7818

Other identifiers 6

IdentifierTypeStateIssuer
201041750OtherNMPRESBYTERIAN HEALTH PLAN
2301264OtherNMUNITED HEALTHCARE
740OtherNMMOLINA,NM
NM009J24OtherNMBLUE CROSS BLUE SHIELD,NM
10005148OtherNMLOVELACE,NM
39972364MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20210803001836 OK Practitioner - Family Practice 0042116931 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
60.58 of 100Reported as group
Quality
72.72
Promoting interoperability
0
Improvement activities
30
Cost
63.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002-0500NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Post Acute Care PLLC CurrentSince Apr 1, 2022 Accepting new patients
Optimum Care Hospitalist Group PLLC CurrentSince Jun 1, 2021 Accepting new patients
Optimum Pac PLLC CurrentSince Jul 1, 2025 Accepting new patients
Presbyterian Medical Services Past Accepting new patients
Summit Medical Center Past Accepting new patients
Presbyterian Medical Services Past Accepting new patients

Locations

1 S Bryant Ave
Edmond, OK 73034
Phone (405) 341-6100

1501 E 19th St
Edmond, OK 73013
Phone (405) 348-6611

1104 E State Highway 152
#1
Mustang, OK 73064
Phone (405) 376-9544

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437175379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 S 8TH ST",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884013752",
            "telephone_number": "505-461-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 E MAIN ST",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884012508",
            "telephone_number": "505-461-2200",
            "fax_number": "505-461-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEEMI",
        "first_name": "MUDASSIR",
        "middle_name": "MUBEEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "2002-0500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLAN",
            "identifier": "201041750",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2301264",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA,NM",
            "identifier": "740",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD,NM",
            "identifier": "NM009J24",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE,NM",
            "identifier": "10005148",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39972364",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucumcari, NM

Sources for this page

Verify at the official NPI Registry.