NPIMap

Individual provider Active NPI

Hany S Salama, MD

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1619064656
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
105872 Issued in MO
Practice address
8790 Watson Rd
Suite 201
Saint Louis, MO 63119-5140
Phone
(314) 543-2800
Fax
(314) 543-2801
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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 105872 MO Primary

Addresses

Primary practice location

8790 Watson Rd
Suite 201
Saint Louis, MO 63119-5140

Mailing address

8790 Watson Rd
Suite 201
Saint Louis, MO 63119-5140
Phone (314) 543-2800

Other identifiers 4

IdentifierTypeStateIssuer
113912OtherBCBS
6232830001OtherMOPTAN
110229073OtherRR MCR
208890814MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071204000856 MO Practitioner - Internal Medicine 4587763404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8790 Watson Rd
Suite 201
Saint Louis, MO 63119-5140
Phone (314) 543-2800

Hospital & facility affiliations

  • Premiere Home Health Home health agency, Saint Charles, MO, CCN 267612
  • Breeze Hospice of Missouri Hospice, Ballwin, MO, CCN 261671
  • Evertrue Hospice Hospice, Brentwood, MO, CCN 261631
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108
  • Mercy Hospital Washington Hospital, Washington, MO, CCN 260052
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032
  • Sunset Health Care Center Nursing home, Union, MO, CCN 265390
  • Lutheran Convalescent Home Nursing home, Webster Groves, MO, CCN 265600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Louis Medical Professionals, LLC Internal Medicine CurrentSince Apr 1, 2003 Accepting new patients
Aspire Internal Medicine, L.L.C. Internal Medicine Past Accepting new patients
Mercy Clinic East Communities Internal Medicine Past Accepting new patients
Sunset Healthcare, LLC Past Accepting new patients
St Louis Medical Professionals LLC PastSince Apr 1, 2003 Accepting new patients

Locations

8790 Watson Rd
Ste 100
Saint Louis, MO 63119
Phone (314) 543-2800

8790 Watson Rd
Ste 201
Saint Louis, MO 63119
Phone (314) 543-2800

Interoperability endpoints

  • Direct secure messaging: hany.salama.2@13162.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13162/brand/1/csg/1/fhir/r4
  • Direct secure messaging: hany.salama.1@13162.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bristol Hospice - St. LouisSaint Louis, MO, CCN 261620 Hospice Contracted Managing Employee Jul 14, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498176000000",
    "number": "1619064656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8790 WATSON RD",
            "address_2": "SUITE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195140",
            "telephone_number": "314-543-2800",
            "fax_number": "314-543-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8790 WATSON RD",
            "address_2": "SUITE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195140",
            "telephone_number": "314-543-2800",
            "fax_number": "314-543-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMA",
        "first_name": "HANY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2017-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "105872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "113912",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "6232830001",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "110229073",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208890814",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.