Individual provider Active NPI

Haitham Yusuf Hasan Salman, MD

  • Pediatric Critical Care Medicine Physician
  • Saginaw, MI
National Provider Identifier
1659496727
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
4301071002 Issued in MI
Practice address
1447 N Harrison St
Saginaw, MI 48602-4727
Phone
(989) 583-5418
Fax
(989) 583-5416
NPI assigned
Mar 20, 2007
Last updated
Jul 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 4301071002 MI Primary

Addresses

Primary practice location

1447 N Harrison St
Saginaw, MI 48602-4727

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-2833

Other identifiers 2

IdentifierTypeStateIssuer
1659496727MedicaidMI
MD5045MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20141204002262 MI Practitioner - Pediatric Medicine 6002886116 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301071002MIMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw Cooperative Hospitals, Inc Current Accepting new patients
Saginaw Cooperative Hospital Inc CurrentSince Nov 14, 2014 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Oct 19, 2014 Accepting new patients
Covenant Medical Center, Inc Pediatric Critical Care Medicine CurrentSince Oct 19, 2014 Accepting new patients
Saginaw Cooperative Hospitals, Inc CurrentSince Nov 14, 2014 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients

Locations

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

1575 Concentric Blvd
Ste 1
Saginaw, MI 48604
Phone (989) 583-6800

800 Cooper Ave
Ste 9
Saginaw, MI 48602
Phone (989) 583-7076

Interoperability endpoints

  • Direct secure messaging: hsalman1721@direct.covenanthealthcare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1659496727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-2833",
            "fax_number": "989-583-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-5418",
            "fax_number": "989-583-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMAN",
        "first_name": "HAITHAM",
        "middle_name": "YUSUF HASAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "MI",
            "license": "4301071002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659496727",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD5045",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.