NPIMap

Individual provider Active NPI

Marcella R Salib, M.D.

  • Internal Medicine Physician
  • Livonia, MI
National Provider Identifier
1528009487
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42066 Issued in MI
Practice address
37008 Curtis Rd
Livonia, MI 48152-4089
Phone
(734) 542-0817
Fax
(734) 542-0819
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 42066 MI Primary

Addresses

Primary practice location

37008 Curtis Rd
Livonia, MI 48152-4089

Mailing address

37008 Curtis Rd
Livonia, MI 48152-4089
Phone (734) 542-0817

Other identifiers 4

IdentifierTypeStateIssuer
002346OtherMIDMC PROVIDER #
1679287MedicaidMI
0829624OtherMIBCBS PROVIDER #
4066566OtherMIAETNA PROVIDER #

Other names 1

  • Dr. Marcelle Rida Salib Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42066MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Neuro Feedback Internal Medicine Past Accepting new patients
Angel Home Visiting Physicians P.C. Internal Medicine Past Accepting new patients
Madison Medical P.C Past Accepting new patients
City Med Clinic LLC Past Accepting new patients

Organizations & group practices 4

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1528009487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37008 CURTIS RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524089",
            "telephone_number": "734-542-0817",
            "fax_number": "734-542-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37008 CURTIS RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524089",
            "telephone_number": "734-542-0817",
            "fax_number": "734-542-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIB",
        "first_name": "MARCELLA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "42066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMC PROVIDER #",
            "identifier": "002346",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679287",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0829624",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "4066566",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCELLE",
            "last_name": "SALIB",
            "middle_name": "RIDA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.