Individual provider Active NPI

Maria E Saleh, DPM

  • Podiatrist
  • Fond Du Lac, WI
National Provider Identifier
1497862767
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
801-025 Issued in WI
Practice address
355 N Peters Ave Ste 3
Fond Du Lac, WI 54935-8115
Phone
(920) 539-5400
Fax
(920) 486-7070
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 801-025 WI Primary

Addresses

Primary practice location

355 N Peters Ave Ste 3
Fond Du Lac, WI 54935-8115

Mailing address

6400 Industrial Loop
Greendale, WI 53129-2452
Phone (866) 973-6637

Other identifiers 1

IdentifierTypeStateIssuer
43228300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080719000095 WI Practitioner - Podiatry 4880767177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

355 N Peters Ave
Suite 3
Fond Du Lac, WI 54935-8115
Phone (920) 539-5400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions1-10
Removal of nail tissue33
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
801-025WIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Foot and Wound Care Center LLC Podiatrist CurrentSince Oct 15, 2012 Accepting new patients
Bauer Chiropractic, LLC CurrentSince Oct 15, 2012 Accepting new patients

Locations

355 N Peters Ave
Ste 3
Fond du Lac, WI 54935
Phone (920) 539-5400

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

3180 Omro Rd
Oshkosh, WI 54904
Phone (920) 236-6000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1497862767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 INDUSTRIAL LOOP",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292452",
            "telephone_number": "866-973-6637",
            "fax_number": "414-423-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 N PETERS AVE STE 3",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549358115",
            "telephone_number": "920-539-5400",
            "fax_number": "920-486-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEH",
        "first_name": "MARIA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2023-03-07",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "801-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43228300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

Verify at the official NPI Registry.