Organization Active NPI

Salim Medical, LLC

  • Internal Medicine Physician
  • Kingman, AZ
National Provider Identifier
1659891786
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SALIM MEDICAL, LLC
Practice address
1465 E Northern Ave
Kingman, AZ 86409-2402
Phone
(928) 757-5522
Fax
(928) 692-2551
NPI assigned
Jun 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Shah Salim
Title
Gen. Manager
Phone
(928) 363-0541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1465 E Northern Ave
Kingman, AZ 86409-2402

Mailing address

1465 E Northern Ave
Kingman, AZ 86409-2402
Phone (928) 757-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170720000651 AZ Part B Supplier - Clinic/Group Practice 6709156961 Receives reassigned benefits from 4 practitioners
Practice locations: Kingman, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1659891786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 E NORTHERN AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864092402",
            "telephone_number": "928-757-5522",
            "fax_number": "928-692-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 E NORTHERN AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864092402",
            "telephone_number": "928-757-5522",
            "fax_number": "928-692-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALIM MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SALIM",
        "authorized_official_first_name": "SHAH",
        "authorized_official_title_or_position": "GEN. MANAGER",
        "authorized_official_telephone_number": "928-363-0541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.