Individual provider Active NPI

Shahrokh NMN Salmasi, M.D.

  • General Practice Physician
  • Bagdad, AZ
National Provider Identifier
1649375437
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19960 Issued in AZ
Practice address
12 Hope Drive
Bagdad, AZ 86321
Phone
(928) 633-6011
Fax
(928) 633-3376
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19960 AZ Primary

Addresses

Primary practice location

12 Hope Drive
Bagdad, AZ 86321

Mailing address

P.O. Box 1472
Bagdad, AZ 86321-1472
Phone (928) 633-6011

Other identifiers 2

IdentifierTypeStateIssuer
0000202464502OtherUNITED HEALTH CARE
055089MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19960AZMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1649375437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1472",
            "city": "BAGDAD",
            "state": "AZ",
            "postal_code": "863211472",
            "telephone_number": "928-633-6011",
            "fax_number": "928-633-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HOPE DRIVE",
            "city": "BAGDAD",
            "state": "AZ",
            "postal_code": "86321",
            "telephone_number": "928-633-6011",
            "fax_number": "928-633-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMASI",
        "first_name": "SHAHROKH",
        "middle_name": "NMN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "19960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0000202464502",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055089",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bagdad, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.