Organization Active NPI

Salame Heart and Vascular Clinic LLC

  • Specialist
  • Anniston, AL
National Provider Identifier
1437390184
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25751 Issued in AL
Legal business name
SALAME HEART AND VASCULAR CLINIC LLC
Practice address
1031 Quintard Ave Ste 1a
Anniston, AL 36201-5714
Phone
(256) 231-2552
Fax
(256) 231-2550
NPI assigned
Mar 10, 2009
Last updated
Jan 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Authorized official

Name
Dr. Mahomed Y Salame, M.D.NPI 1487625661
Title
President
Phone
(256) 689-0147

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25751 AL Primary

Addresses

Primary practice location

1031 Quintard Ave Ste 1a
Anniston, AL 36201-5714

Mailing address

PO Box 1440
Anniston, AL 36202-1440
Phone (256) 689-0147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090603000139 AL Part B Supplier - Clinic/Group Practice 3274683834 Receives reassigned benefits from 2 practitioners
Practice locations: Anniston, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1101863Salame Heart & Vascular Clinic LLC1031 Quintard Ave Ste 1a, Anniston, AL 36201Certificate of waiverJul 6, 2027

National Provider Directory

National Provider Directory

Locations

1031 Quintard Ave
Ste 1A
Anniston, AL 36201
Phone (256) 231-2552

901 Leighton Ave
Ste 702
Anniston, AL 36207
Phone (256) 231-2552

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAHGAA

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1437390184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1440",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362021440",
            "telephone_number": "256-689-0147",
            "fax_number": "256-236-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 QUINTARD AVE STE 1A",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362015714",
            "telephone_number": "256-231-2552",
            "fax_number": "256-231-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALAME HEART AND VASCULAR CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "SALAME",
        "authorized_official_first_name": "MAHOMED",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-689-0147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "25751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.