NPIMap

Individual provider Active NPI

Salman Ghiasuddin, MD

  • Interventional Cardiology Physician
  • Newburyport, MA
National Provider Identifier
1467446120
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
150483 Issued in MA
Practice address
7 Henry Graf Road
Newburyport, MA 01950
Phone
(978) 462-1110
Fax
(978) 462-3889
NPI assigned
Sep 8, 2005
Last updated
Jan 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 150483 MA
Cardiovascular Disease Physician 207RC0000X 12423 NH
Interventional Cardiology Physician 207RI0011X 150483 MA Primary
Interventional Cardiology Physician 207RI0011X 12423 NH

Addresses

Primary practice location

7 Henry Graf Road
Newburyport, MA 01950

Mailing address

7 Henry Graf Road
Newburyport, MA 01950
Phone (978) 462-1110

Other identifiers 3

IdentifierTypeStateIssuer
3191044MedicaidMA
3090678MedicaidNH
30200119MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040713001306 NH Practitioner - Cardiovascular Disease (Cardiology) 3375521404 Reassigns benefits to 1 organization
I20040809000848 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3375521404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newburyport Cardiovascular Associates, LLCGroup PAC ID 0143548198, 9 clinicians

Practice addresses (Care Compare)

7 Henry Graf Jr Rd
Newburyport, MA 01950-4014
Phone (978) 462-1110

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting21
Pacemaker insertion or repair11
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
150483MAMDInterventional Cardiology Physician
12423NHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Nov 30, 2016 Accepting new patients
Wentworth Douglass Physician Corporation Cardiovascular Disease CurrentSince Nov 30, 2016 Accepting new patients
Appledore Medical Group Inc Past Accepting new patients
Appledore Medical Group, Inc Interventional Cardiology Past Accepting new patients

Locations

19 Old Rollinsford Rd
Bldg B
Dover, NH 03820
Phone (603) 516-4265

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Anna Jaques HospitalNewburyport, MA, CCN 220029 Hospital Corporate Director Mar 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 6

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1467446120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HENRY GRAF ROAD",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "01950",
            "telephone_number": "978-462-1110",
            "fax_number": "978-462-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HENRY GRAF ROAD",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "01950",
            "telephone_number": "978-462-1110",
            "fax_number": "978-462-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHIASUDDIN",
        "first_name": "SALMAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "150483",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NH",
            "license": "12423",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MA",
            "license": "150483",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NH",
            "license": "12423",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3191044",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3090678",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30200119",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.