Individual provider Active NPI

Salim Hommeida, MD

  • Pediatric Gastroenterology Physician
  • Des Moines, IA
National Provider Identifier
1730477407
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
MD-44378 Issued in IA
Practice address
1215 Pleasant St Ste 600
Des Moines, IA 50309-1409
Phone
(515) 241-6542
Fax
(515) 241-8789
NPI assigned
Jul 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD-44378 IA
Pediatric Gastroenterology Physician 2080P0206X MD-44378 IA Primary

Addresses

Primary practice location

1215 Pleasant St Ste 600
Des Moines, IA 50309-1409

Mailing address

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6228

Other practice location 1

1212 Pleasant St Ste 204
Des Moines, IA 50309-1411
Phone (515) 241-6542

Other practice location 2

5153 N 9th Ave
6th Floor Nemours
Pensacola, FL 32504-8785
Phone (850) 416-7658

Other identifiers 1

IdentifierTypeStateIssuer
1730477407MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20170620000750 IA Practitioner - Pediatric Medicine 2466671912 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-44378IAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation Current Accepting new patients
Central Iowa Hospital Corporation CurrentSince Jul 1, 2017 Accepting new patients
Central Iowa Hospital Corporation Pediatrics CurrentSince Jul 1, 2017 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Florida State University Past Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients

Locations

1200 Pleasant St
Rm 236
Des Moines, IA 50309
Phone (515) 241-6228

1215 Pleasant St
Ste 600
Des Moines, IA 50309
Phone (515) 241-4646

1215 Pleasant St
Ste 500
Des Moines, IA 50309
Phone (515) 241-3560

1212 Pleasant St
Ste 600
Des Moines, IA 50309

1212 Pleasant St
Ste 204
Des Moines, IA 50309
Phone (515) 241-6003

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

Interoperability endpoints

  • Direct secure messaging: shommeida520512@direct.unitypoint.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1730477407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091406",
            "telephone_number": "515-241-6228",
            "fax_number": "515-241-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST STE 600",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091409",
            "telephone_number": "515-241-6542",
            "fax_number": "515-241-8789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 Pleasant St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503091411",
            "country_code": "US",
            "telephone_number": "515-241-6542",
            "fax_number": "515-241-8789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5153 N 9th Ave",
            "address_2": "6th Floor Nemours",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048785",
            "country_code": "US",
            "telephone_number": "850-416-7658",
            "fax_number": "850-416-7677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMMEIDA",
        "first_name": "SALIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "MD-44378",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "IA",
            "license": "MD-44378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730477407",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.