Active NPI
Reshad Salam
- Internal Medicine Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME172215
- Practice address
- 22250 Providence Dr.
3PMB Suite #301
Southfield, MI 48075-4818 - Phone
- (248) 849-3281
- Fax
- (248) 849-5449
- NPI assigned
- Jul 11, 2021
- Last updated
- Jun 18, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4351048085 | MI | |
| Internal Medicine Physician | 207R00000X | ME172215 | FL | Primary |
Addresses
Primary practice location
22250 Providence Dr.
3PMB Suite #301
Southfield, MI 48075-4818
Mailing address
3625 University Blvd S
Jacksonville, FL 32216-4222
Phone (904) 702-6111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12645 Salina Dr
Jacksonville, FL 32246-2291
Phone (904) 787-8150
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME172215 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 Southeast, LLC | Current | Accepting new patients | |
| Florida Post Acute Medical Services 1 PA | Current | Accepting new patients | |
| Inpatient Consultants of Florida Inc | Internal Medicine | Current | Accepting new patients |
| Ca Pacs 2 Medical Group Inc | Current | Accepting new patients | |
| Inpatient Consultants of Florida, Inc | Internal Medicine | Past | Accepting new patients |
Locations
21251 E Dixie Hwy
Aventura, FL 33180
Phone (305) 935-4825
401 Fairwood Ave
Clearwater, FL 33759
Phone (727) 210-2600
12980 SW Highway 484
Dunnellon, FL 34432
Phone (352) 229-8465
12645 Salina Dr
Jacksonville, FL 32246
Phone (904) 787-8150
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
4325 Southpoint Blvd
Jacksonville, FL 32216
Phone (904) 245-7620
9820 SW 88th St
Miami, FL 33176
Phone (305) 271-6311
42 Collins Ave
#S
Miami Beach, FL 33139
Phone (305) 672-1771
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
4513 Executive Dr
Fl 2
Naples, FL 34119
1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777
2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063
777 S Douglas Rd
Pembroke Pines, FL 33025
Phone (954) 276-6200
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
490 S Old Wire Rd
Wildwood, FL 34785
Phone (352) 748-3322
2675 N Andrews Ave
Wilton Manors, FL 33311
Phone (954) 563-4711
38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608
Interoperability endpoints
- reshad.salam.1@19711.direct.athenahealth.com
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.
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
-
- Hospitalist Physician
- Tampa, FL
- NPI 1255862439
-
- Hospitalist Physician
- Tampa, FL
- NPI 1457511164
Internal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Memorial Hospital
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1467024448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3625 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164222",
"telephone_number": "904-702-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22250 PROVIDENCE DR.",
"address_2": "3PMB SUITE #301",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754818",
"telephone_number": "248-849-3281",
"fax_number": "248-849-5449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAM",
"first_name": "RESHAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-11",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4351048085",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME172215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.