Active NPI
Nabil P. Salama, DO
- Emergency Medicine Physician
- New Richmond, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 64217-21
- Practice address
- 535 Hospital Rd
New Richmond, WI 54017-1449 - Phone
- (715) 243-2600
- Fax
- (715) 246-2177
- NPI assigned
- Dec 22, 2005
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 234542 | NY | |
| Emergency Medicine Physician | 207P00000X | 3801 | IA | |
| Emergency Medicine Physician | 207P00000X | 64217-21 | WI | Primary |
Addresses
Primary practice location
535 Hospital Rd
New Richmond, WI 54017-1449
Mailing address
8170 33Rd Ave S
Mail Stop 21110Q
Bloomington, MN 55425-4516
Phone (952) 883-7962
Other practice location 1
405 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6000
Other practice location 2
927 Churchill St W
Stillwater, MN 55082-6605
Phone (651) 439-5330
Other practice location 3
265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629055488 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3801 | IA | MD | Emergency Medicine Physician |
| 234542 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Westfields Hospital, Inc. | Current | Accepting new patients | |
| Hudson Hospital, Inc. | Current | Accepting new patients | |
| Westfields Hospital, Inc | Current | Accepting new patients | |
| Lakeview Memorial Hospital Association Inc | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Hudson Hospital, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Lakeview Memorial Hospital Association Inc. | Emergency Medicine | Current | Accepting new patients |
| Hudson Hospital, Inc | Past | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Past | Accepting new patients |
Locations
8170 33rd Ave S
Stop 21110Q
Minneapolis, MN 55425
8170 33rd Ave S
Minneapolis, MN 55425
Phone (952) 883-5463
927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529
1500 Curve Crest Blvd W
Stillwater, MN 55082
921 Greeley St S
West Lakeland, MN 55082
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000
535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013
744 E Louisiana St
St Croix Fls, WI 54024
Phone (651) 772-6251
Organizations & group practices 14
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.
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-
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-
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-
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- NPI 1821114729
Emergency Medicine
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- NPI 1851345268
-
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- NPI 1215305412
-
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-
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- NPI 1477228070
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-
- Pharmacy
- Stillwater, MN
- NPI 1326124454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557446400000",
"number": "1629055488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S",
"address_2": "MAIL STOP 21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554254516",
"telephone_number": "952-883-7962",
"fax_number": "952-853-8727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 HOSPITAL RD",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540171449",
"telephone_number": "715-243-2600",
"fax_number": "715-246-2177"
}
],
"practiceLocations": [
{
"address_1": "405 Stageline Rd",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "WI",
"postal_code": "540167848",
"country_code": "US",
"telephone_number": "715-531-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "927 Churchill St W",
"address_purpose": "LOCATION",
"city": "Stillwater",
"state": "MN",
"postal_code": "550826605",
"country_code": "US",
"telephone_number": "651-439-5330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "265 Griffin St E",
"address_purpose": "LOCATION",
"city": "Amery",
"state": "WI",
"postal_code": "540011439",
"country_code": "US",
"telephone_number": "715-268-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALAMA",
"first_name": "NABIL",
"middle_name": "P.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2019-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "234542",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "3801",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "64217-21",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629055488",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Richmond, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.