Individual provider Active NPI

Nancy A. Salem, MD

  • Obstetrics & Gynecology Physician
  • West Bloomfield, MI
National Provider Identifier
1457337529
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301074072 Issued in MI
Practice address
6079 W Maple Rd
Suite 110
West Bloomfield, MI 48322-2283
Phone
(248) 325-9615
Fax
(248) 325-9613
NPI assigned
Dec 20, 2005
Last updated
Nov 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301074072 MI Primary

Addresses

Primary practice location

6079 W Maple Rd
Suite 110
West Bloomfield, MI 48322-2283

Mailing address

6079 W Maple Rd
Suite 110
West Bloomfield, MI 48322-2283
Phone (248) 325-9615

Other identifiers 2

IdentifierTypeStateIssuer
4573559MedicaidMI
5315008550OtherCONTROLLED SUBSTANCE

Other names 1

  • Dr. Nancy Ahmed Salem Other name

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
I20040316000230 MI Practitioner - Obstetrics/Gynecology 9931099975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6079 W Maple Rd
Suite 110
West Bloomfield, MI 48322-2283
Phone (248) 325-9615

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NMS OBGYN PLLC CurrentSince Sep 22, 2011 Accepting new patients
Jeffrey G Obron PLLC Obstetrics & Gynecology CurrentSince Jan 9, 2017 Accepting new patients
City of Detroit Past Accepting new patients

Locations

6079 W Maple Rd
Ste 110
West Bloomfield, MI 48322
Phone (248) 325-9615

Interoperability endpoints

  • Direct secure messaging: nsalem2@direct.dmc.org
  • Direct secure messaging: nsalem60474@direct.hfhs.org

Organizations & group practices 3

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320969600000",
    "number": "1457337529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6079 W MAPLE RD",
            "address_2": "SUITE 110",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222283",
            "telephone_number": "248-325-9615",
            "fax_number": "248-325-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6079 W MAPLE RD",
            "address_2": "SUITE 110",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222283",
            "telephone_number": "248-325-9615",
            "fax_number": "248-325-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEM",
        "first_name": "NANCY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2011-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301074072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4573559",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "5315008550",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "SALEM",
            "middle_name": "AHMED",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.