Andrew Nima Salim, M.D., MPH
Individual provider Active NPI Surgery Physician · Monticello, UT
NPI 1669869459 · NPPES record last updated Nov 5, 2024
Key facts
- NPI
- 1669869459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 14141471-1205 (UT)
- Practice address
- 380 W 100 N
Monticello, UT 84535-7879 - Phone
- (435) 587-2116
- NPI assigned
- Apr 20, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Drexel University College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- San Juan County Hospital
Practice addresses (Care Compare)
380 W 100
Monticello, UT 84535-0308
Phone (435) 587-2116
380 W 100
Suite a
Monticello, UT 84535-7879
Phone (435) 587-5054
Hospital & facility affiliations
- San Juan Hospital
- Southwest Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 40.82 of 100
- Quality
- 9.1
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 43.64
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO, UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211208000746 | CO | Practitioner - General Surgery | 0244527877 | |
| I20241220000216 | UT | Practitioner - General Surgery | 0244527877 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan County Hospital | Current |
Accepting new patients | |
| San Juan County Hospital | Current | Accepting new patients | |
| San Juan County Hospital | Current | Accepting new patients | |
| San Juan County Hospital | Past | Accepting new patients | |
| San Juan County Hospital | Past | Accepting new patients | |
| Lankenau Medical Center | Past | Accepting new patients |
Locations
735 S 200 W
Ste 3
Blanding, UT 84511
Phone (435) 678-2254
5555 Old Airport Rd
Moab, UT 84532
Phone (435) 419-9210
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d2bc3d5a-3c39-4553-86b1-b3aa0a5429a7/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 14141471-1205 | UT | Yes |
| Surgery Physician | 208600000X | MD2024-0916 | NM | |
| Surgery Physician | 208600000X | DR.0066939 | CO |
Addresses
Primary practice location
380 W 100 N
Monticello, UT 84535-7879
Mailing address
380 W 100 N
Monticello, UT 84535-7879
Phone (435) 587-2116
Other providers in Monticello, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.