Individual provider Active NPI

Hani I Salib, M.D.

  • Internal Medicine Physician
  • Palm Springs, CA
National Provider Identifier
1629065925
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A45331 Issued in CA
Practice address
1401 N Palm Canyon Dr
# 102
Palm Springs, CA 92262-4434
Phone
(760) 322-5184
Fax
(760) 322-3496
NPI assigned
Oct 2, 2005
Last updated
Oct 1, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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 A45331 CA Primary

Addresses

Primary practice location

1401 N Palm Canyon Dr
# 102
Palm Springs, CA 92262-4434

Mailing address

1401 N Palm Canyon Dr
# 102
Palm Springs, CA 92262-4434
Phone (760) 322-5184

Other identifiers 1

IdentifierTypeStateIssuer
A45331OtherCACA STATE LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050127000196 CA Practitioner - Internal Medicine 8022068162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1401 N Palm Canyon
Suite 102
Palm Springs, CA 92262
Phone (760) 322-5184

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A45331CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hani I. Salib, M.D. Internal Medicine CurrentSince Jan 1, 2005 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients

Locations

1401 N Palm Canyon Dr
Ste 102
Palm Springs, CA 92262
Phone (760) 322-5184

Interoperability endpoints

  • Direct secure messaging: hani.salib.p6@direct.mydohc.nextgenshare.com

Organizations & group practices 3

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 3

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": "1128211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1629065925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N PALM CANYON DR",
            "address_2": "# 102",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624434",
            "telephone_number": "760-322-5184",
            "fax_number": "760-322-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N PALM CANYON DR",
            "address_2": "# 102",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624434",
            "telephone_number": "760-322-5184",
            "fax_number": "760-322-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIB",
        "first_name": "HANI",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-02",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A45331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE NUMBER",
            "identifier": "A45331",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.