Active NPI
Salim Medical, LLC
- Internal Medicine Physician
- Kingman, AZ
National Provider Identifier
1659891786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170720000651 | AZ | Part B Supplier - Clinic/Group Practice | 6709156961 |
Receives reassigned benefits from 4 practitioners Practice locations: Kingman, AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Somerset, NJ
- NPI 1801164074
AZ, Internal Medicine
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.