Individual provider Active NPI

Salim Farid Dabaghi, M.D.

  • Cardiovascular Disease Physician
  • Angleton, TX
National Provider Identifier
1679671127
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
J1222 Issued in TX
Practice address
4005 Technology Rd Ste 1510
Angleton, TX 77515-2557
Phone
(979) 849-1414
Fax
(877) 809-2721
NPI assigned
Sep 20, 2006
Last updated
Nov 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J1222 TX
Cardiovascular Disease Physician 207RC0000X J1222 TX Primary

Addresses

Primary practice location

4005 Technology Rd Ste 1510
Angleton, TX 77515-2557

Mailing address

4005 Technology Rd Ste 1510
Angleton, TX 77515-2557
Phone (979) 849-1414

Other identifiers 7

IdentifierTypeStateIssuer
688325OtherTXAETNA #
1334169OtherTXUNITED HEALTHCARE #
P00169704OtherTXMEDICARE RAILROAD INDIV #
10021226OtherTXAMERIGROUP #
160579201MedicaidTX
688325OtherTXAETNA
8A6548OtherTXBCBS INDIVIDUAL #

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Angleton

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100811000973 TX Practitioner - Cardiovascular Disease (Cardiology) 6507990645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4005 Technology Rd
Suite 1510
Angleton, TX 77515-2557
Phone (979) 849-1414

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting19
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salim F Dabaghi, MD, PA Specialist CurrentSince Jul 1, 1995 Accepting new patients

Locations

146 E Hospital Dr
Ste 201
Angleton, TX 77515
Phone (409) 849-1414

4005 Technology Rd
Ste 1510
Angleton, TX 77515
Phone (281) 980-1282

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFAHAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFAHAD/Endpoint/EFAHAD

Organizations & group practices 1

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 5

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1679671127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 TECHNOLOGY RD STE 1510",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775152557",
            "telephone_number": "979-849-1414",
            "fax_number": "877-809-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 TECHNOLOGY RD STE 1510",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775152557",
            "telephone_number": "979-849-1414",
            "fax_number": "877-809-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABAGHI",
        "first_name": "SALIM",
        "middle_name": "FARID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J1222",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J1222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA #",
            "identifier": "688325",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE #",
            "identifier": "1334169",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD INDIV #",
            "identifier": "P00169704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP #",
            "identifier": "10021226",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160579201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "688325",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL #",
            "identifier": "8A6548",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Angleton",
            "affiliation": "N",
            "address_1": "4005 Technology Rd Ste 1510",
            "city": "Angleton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775152557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Angleton, TX

Sources for this page

Verify at the official NPI Registry.