Organization Active NPI

Michigan Pain Management Consultants-West, PC

  • Anesthesiology Physician
  • Novi, MI
National Provider Identifier
1689862047
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MICHIGAN PAIN MANAGEMENT CONSULTANTS-WEST, PC
Practice address
26750 Providence Pkwy
Suite 120
Novi, MI 48374-1211
Phone
(800) 853-8989
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
David Gabriel SalamaNPI 1881803062
Title
President
Phone
(313) 916-8234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

26750 Providence Pkwy
Suite 120
Novi, MI 48374-1211

Mailing address

255 W Michigan Ave
Jackson, MI 49201-2218
Phone (800) 853-8989

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080425000600 MI Part B Supplier - Clinic/Group Practice 2961580287 Receives reassigned benefits from 5 practitioners
Practice locations: Novi, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1079416Michigan Pain Management26750 Providence Parkway Suite 120, Novi, MI 48374Certificate of waiverJan 30, 2028

National Provider Directory

National Provider Directory

Locations

26750 Providence Pkwy
Ste 120
Novi, MI 48374
Phone (248) 679-8000

Practitioners & affiliated clinicians

Practitioners 7

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": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1689862047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "800-853-8989",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26750 PROVIDENCE PKWY",
            "address_2": "SUITE 120",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741211",
            "telephone_number": "800-853-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN PAIN MANAGEMENT CONSULTANTS-WEST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "SALAMA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-916-8234"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.