Individual provider Active NPI

Mahmoud W Sallah, MD

  • Infectious Disease Physician
  • Butler, PA
National Provider Identifier
1487630604
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD465450 Issued in PA
Practice address
1 Hospital Way
Butler, PA 16001-4760
Phone
(833) 995-0114
Fax
(724) 284-7464
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME76555 FL
Infectious Disease Physician 207RI0200X MD465450 PA Primary

Addresses

Primary practice location

1 Hospital Way
Butler, PA 16001-4760

Mailing address

14690 Spring Hill Dr Ste 305
Spring Hill, FL 34609-8102
Phone (352) 277-5348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040921001332 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 1153399753 Reassigns benefits to 1 organization
I20220713000163 PA Practitioner - Infectious Disease 1153399753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

1 Hospital Way
Butler, PA 16001-4670

1 Hospital Way 4
Butler Infectious Disease Services
Butler, PA 16001-4670
Phone (724) 284-4309

24 Doctors LN
Clarion, PA 16214-8574

One Hospital Way 4TH Floor
BHS Women'S Care Associates
Butler, PA 16001-4670
Phone (844) 765-2845

Hospital & facility affiliations

  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME76555FLMDInfectious Disease Physician
MD465450PAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers Infectious Disease CurrentSince Jul 18, 2022 Accepting new patients
Robert J. Brill MD PA CurrentSince Jun 1, 2017 Accepting new patients
Butler Medical Providers CurrentSince Jul 18, 2022 Accepting new patients
Ocala Infectious Disease and Wound Center, Inc Infectious Disease CurrentSince Jun 1, 2017 Accepting new patients
Butler Medical Providers Current Accepting new patients
Northeastern Ohio Infectious Disease Association, Inc. Infectious Disease Past Accepting new patients
Butler Medical Providers Past Accepting new patients
Infusion Medical Center Inc. Past Accepting new patients
Infectious Diseases Associates of North Central Florida LLC Infectious Disease PastSince Aug 1, 2009 Accepting new patients
Northeastern Ohio Infectious Disease Association Inc Infectious Disease Past Accepting new patients

Locations

2651 SW 32nd Pl
Ocala, FL 34471
Phone (352) 401-7552

1 Hospital Way
#4S
Butler, PA 16001
Phone (724) 284-4309

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19367/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mahmoud.sallah@direct-address.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1487630604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14690 SPRING HILL DR STE 305",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346098102",
            "telephone_number": "352-277-5348",
            "fax_number": "352-606-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL WAY",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014760",
            "telephone_number": "833-995-0114",
            "fax_number": "724-284-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLAH",
        "first_name": "MAHMOUD",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME76555",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD465450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.