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
Last updated
Jun 23, 2017By the provider in NPPES
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

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

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

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.

  • Hope Hospice Inc

    dba Bristol Hospice - St. Louis

    • Community Based Hospice Care Agency
    • Saint Louis, MO
    • NPI 1164509329

    Contracted Managing Employee

    CMS ownership

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.