Active NPI
Ihsan M Salloum, MD
- Psychiatry Physician
- Harlingen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- S6731
- Practice address
- 2902 Haine Drive
Harlingen, TX 78550 - Phone
- (956) 296-4000
- Fax
- (956) 296-2842
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME98860 | FL | |
| Psychiatry Physician | 2084P0800X | S6731 | TX | Primary |
Addresses
Primary practice location
2902 Haine Drive
Harlingen, TX 78550
Mailing address
2102 Treasure Hills Blvd Ste 2.126
Harlingen, TX 78550-8736
Phone (956) 296-5527
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001179664 | Medicaid | PA | |
| 4306227-01 | Medicaid | TX | |
| BCBS | Other | TX | H08QJ49601 |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2106 Treasure Hills Blvd
Suite 1326
Harlingen, TX 78550-8736
Phone (833) 887-4863
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.59 of 100
- Quality
- 72.49
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 68.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S6731 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Rio Grande Valley | Current | Accepting new patients | |
| The University of Texas Rio Grande Valley | Psychiatry | Current | Accepting new patients |
| University of Texas Rio Grande Valley | Past | Accepting new patients |
Locations
2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437
2106 Treasure Hills Blvd
#1326
Harlingen, TX 78550
Phone (956) 296-1519
2102 Treasure Hills Blvd
Ste 2126
Harlingen, TX 78550
2902 Haine Dr
Harlingen, TX 78550
Phone (956) 296-3821
2106 Treasure Hills Blvd
Ste 1
Harlingen, TX 78550
Phone (956) 296-1519
2106 Treasure Hills Blvd
Ste 1326
Harlingen, TX 78550
Phone (956) 296-1519
2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831
Interoperability endpoints
- ihsan.salloum.1@27420.direct.athenahealth.com
- isalloum68282@direct.utmb.edu
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Harlingen, TX
- NPI 1477960730
Psychiatry
-
- Physiological Laboratory
- McAllen, TX
- NPI 1376436998
-
- Physiological Laboratory
- Harlingen, TX
- NPI 1689330649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1760457147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 TREASURE HILLS BLVD STE 2.126",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508736",
"telephone_number": "956-296-5527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2902 HAINE DRIVE",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "78550",
"telephone_number": "956-296-4000",
"fax_number": "956-296-2842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALLOUM",
"first_name": "IHSAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2021-12-14",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME98860",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "S6731",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001179664",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4306227-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "H08QJ49601",
"identifier": "BCBS",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.