Active NPI
Shafee Salloum, MD
- Pediatric Critical Care Medicine Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 35.129044
- Practice address
- 3333 Burnet Ave
Cincinnati, OH 45229-3026 - Phone
- (513) 636-4200
- NPI assigned
- Jun 24, 2012
- Last updated
- Aug 22, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35.129044 | OH | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 35.129044 | OH | Primary |
| Hospitalist Physician | 208M00000X | 35129044 | OH |
Addresses
Primary practice location
3333 Burnet Ave
Cincinnati, OH 45229-3026
Mailing address
3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4259
Other practice location 1
272 Hospital Rd
Chillicothe, OH 45601-9031
Phone (740) 779-7500
Other practice location 2
1 Childrens Plz
Dayton, OH 45404-1873
Phone (937) 641-3600
Other practice location 3
3333 W Tech Rd
Miamisburg, OH 45342-0955
Phone (937) 641-3400
Other practice location 4
8501 Old Troy Pike
Huber Heights, OH 45424-1054
Phone (937) 641-4360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0200136 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Pediatric Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.129044 | OH | MD | Pediatrics Physician |
| 35129044 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Academic Association, Inc. | Pediatrics | Current | Accepting new patients |
| Dayton Children's Specialty Physicians, Inc. | Pediatrics | Current | Accepting new patients |
| Adena Medical Group LLC | Pediatrics | Current | Accepting new patients |
| Promedica Children's Specialists | Pediatrics | Current | Accepting new patients |
| Children's Hospital Medical Center | Pediatrics | Current | Accepting new patients |
| Dayton Children's Specialty Physicians, Inc. | Pediatrics | Current | Accepting new patients |
| Children's Hospital Medical Center | Past | Accepting new patients | |
| Sheltering Arms Hospital Foundation, Inc. | Past | Accepting new patients |
Locations
3341 Solutions Ctr
Chicago, IL 60677
272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275
3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200
700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411
Dept L289
Columbus, OH 43260
1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600
967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330
3333 W Tech Rd
Miamisburg, OH 45342
Phone (937) 641-3400
2121 Hughes Dr
Ste 220
Toledo, OH 43606
Phone (419) 291-7403
12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180
Organizations & group practices 8
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.
-
dba Cincinnati Children's Hospital Medical Center
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
-
- Pediatrics Physician
- Dayton, OH
- NPI 1225192610
-
- Pediatrics Physician
- Columbus, OH
- NPI 1063419943
-
- Pediatrics Physician
- Toledo, OH
- NPI 1245444959
-
- Pediatrics Physician
- Dayton, OH
- NPI 1780467555
-
- Children's Hospital
- Cincinnati, OH
- NPI 1548212988
-
dba O'Bleness Memorial Hospital
- General Acute Care Hospital
- Athens, OH
- NPI 1710913462
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Cincinnati, OH
- NPI 1548212988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1508129560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-4259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-4200"
}
],
"practiceLocations": [
{
"address_1": "272 Hospital Rd",
"address_purpose": "LOCATION",
"city": "Chillicothe",
"state": "OH",
"postal_code": "456019031",
"country_code": "US",
"telephone_number": "740-779-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Childrens Plz",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454041873",
"country_code": "US",
"telephone_number": "937-641-3600",
"fax_number": "937-641-5802",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3333 W Tech Rd",
"address_purpose": "LOCATION",
"city": "Miamisburg",
"state": "OH",
"postal_code": "453420955",
"country_code": "US",
"telephone_number": "937-641-3400",
"fax_number": "937-641-4880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8501 Old Troy Pike",
"address_purpose": "LOCATION",
"city": "Huber Heights",
"state": "OH",
"postal_code": "454241054",
"country_code": "US",
"telephone_number": "937-641-4360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALLOUM",
"first_name": "SHAFEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-24",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.129044",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "OH",
"license": "35.129044",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35129044",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0200136",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.