NPIMap

Organization Active NPI

Dr. Saleh & Associates, LLC

  • Psychiatry Physician
  • Prince Frederick, MD
National Provider Identifier
1497944888
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0050397 Issued in MD
Legal business name
DR. SALEH & ASSOCIATES, LLC
Practice address
110 Hospital Rd.
Suite 302
Prince Frederick, MD 20678
Phone
(410) 535-5602
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Authorized official

Name
Dr. Osama M Saleh, MDNPI 1093785347
Title
President Owner of Practice
Phone
(410) 535-5602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X D0050397 MD Primary

Addresses

Primary practice location

110 Hospital Rd.
Suite 302
Prince Frederick, MD 20678

Mailing address

110 Hospital Rd.
Suite 302
Prince Frederick, MD 20678
Phone (410) 535-5602

Other identifiers 3

IdentifierTypeStateIssuer
14846OtherBLUE CROSS BLUE SHIELD DC
264870000MedicaidMD
KFISOtherBLUE CROSS BLUE SHIELD MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040331000956 MD Part B Supplier - Clinic/Group Practice 2668464603 Receives reassigned benefits from 2 practitioners
Practice locations: Prince Frederick, MD

National Provider Directory

National Provider Directory
Tax ID family
Dr Saleh Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1497944888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD.",
            "address_2": "SUITE 302",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-535-5602",
            "fax_number": "410-535-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD.",
            "address_2": "SUITE 302",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-535-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SALEH & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "SALEH",
        "authorized_official_first_name": "OSAMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT OWNER OF PRACTICE",
        "authorized_official_telephone_number": "410-535-5602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0050397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD DC",
            "identifier": "14846",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264870000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "KFIS",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.