Active NPI
Mina A Salib, M.D.
- Pediatric Critical Care Medicine Physician
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 2020-02590
- Practice address
- 1200 Pleasant St
Des Moines, IA 50309-1406 - Phone
- (515) 241-5926
- Fax
- (515) 241-5127
- NPI assigned
- Feb 15, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 55489 | WI | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 55489 | WI | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 2020-02590 | NC | Primary |
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD-43273 | IA |
Addresses
Primary practice location
1200 Pleasant St
Des Moines, IA 50309-1406
Mailing address
PO Box 40908
Fayetteville, NC 28309-0908
Phone (910) 615-6949
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528365277 | Medicaid | WI | |
| 1528365277 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6212
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 83.65
- Promoting interoperability
- 78
- Improvement activities
- 40
- Cost
- 76.53
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-02465 | NC | MD | Pediatric Critical Care Medicine Physician |
| 2020-02590 | NC | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Pediatrics | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Past | Accepting new patients |
Locations
1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121
1200 Pleasant St
Ste S228
Des Moines, IA 50309
1212 Pleasant St
Ste 204
Des Moines, IA 50309
Phone (515) 241-6003
1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926
Interoperability endpoints
- msalib410396@direct.unitypoint.org
- msalib80765@capefearvalley.direct-ci.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Des Moines, IA
- NPI 1104879576
-
- Pharmacy
- Des Moines, IA
- NPI 1003352949
-
- Pediatrics Physician
- Des Moines, IA
- NPI 1144309188
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1396837951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1528365277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40908",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283090908",
"telephone_number": "910-615-6949",
"fax_number": "910-615-9761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 PLEASANT ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091406",
"telephone_number": "515-241-5926",
"fax_number": "515-241-5127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALIB",
"first_name": "MINA",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-15",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "55489",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "WI",
"license": "55489",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NC",
"license": "2020-02590",
"primary": true
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "IA",
"license": "MD-43273",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528365277",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528365277",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.