NPIMap

Individual provider Active NPI

Andrew Nima Salim, M.D., MPH

  • Surgery Physician
  • Monticello, UT
National Provider Identifier
1669869459
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
14141471-1205 Issued in UT
Practice address
380 W 100 N
Monticello, UT 84535-7879
Phone
(435) 587-2116
NPI assigned
Apr 20, 2015
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 14141471-1205 UT Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, UT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211208000746 CO Practitioner - General Surgery 0244527877
I20241220000216 UT Practitioner - General Surgery 0244527877 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 HospitalGroup PAC ID 4486541851, shared by 5 NPIs, 19 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
40.82 of 100Reported as group
Quality
9.1
Promoting interoperability
100
Improvement activities
0
Cost
43.64

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan County Hospital CurrentSince Jan 1, 2025 Accepting new patients
San Juan County Hospital Current Accepting new patients
San Juan County Hospital Current Accepting new patients
Lankenau Medical Center Past Accepting new patients
San Juan County Hospital Past Accepting new patients
San Juan County Hospital 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d2bc3d5a-3c39-4553-86b1-b3aa0a5429a7/

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1669869459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 W 100 N",
            "city": "MONTICELLO",
            "state": "UT",
            "postal_code": "845357879",
            "telephone_number": "435-587-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W 100 N",
            "city": "MONTICELLO",
            "state": "UT",
            "postal_code": "845357879",
            "telephone_number": "435-587-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIM",
        "first_name": "ANDREW",
        "middle_name": "NIMA",
        "name_prefix": "Dr.",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "14141471-1205",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "MD2024-0916",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0066939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, UT

Sources for this page

Verify at the official NPI Registry.