Active NPI
Nicholas Michael Absalom, MD
- Neurology Physician
- Midvale, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- P0329
- Practice address
- 7259 S Bingham Junction Blvd
Midvale, UT 84047-4860 - Phone
- (801) 264-6400
- NPI assigned
- Jun 18, 2008
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 2020003928 | MO | |
| Neurology Physician | 2084N0400X | 036148630 | IL | |
| Neurology Physician | 2084N0400X | 310721 | LA | |
| Neurology Physician | 2084N0400X | MC-0602 | ID | |
| Neurology Physician | 2084N0400X | MD185800 | OR | |
| Neurology Physician | 2084N0400X | ME134160 | FL | |
| Neurology Physician | 2084N0400X | P0329 | TX | Primary |
Addresses
Primary practice location
7259 S Bingham Junction Blvd
Midvale, UT 84047-4860
Mailing address
8750 Mediterranean Dr
Dallas, TX 75238-3742
Other practice location 1
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4000
Other practice location 2
1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 302-4200
Other practice location 3
2222 Vela Dr
Harlingen, TX 78550-8981
Phone (956) 804-5851
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3115814 | Medicaid | NH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nabsalom839468@direct.multicare.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, TN, WA, OR, FL, MI, MO, ID, WI, NM, IL, OK, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 13
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Texas Southwestern Medical School at Dallas, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1235 E Cherokee St
Springfield, MO 65804-2203
1801 Barrs St
Suite 120
Jacksonville, FL 32204-4738
Phone (904) 308-2006
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4000
2115 S Fremont Ave
3050 MC Infectious Disease Whiteside
Springfield, MO 65804-2236
Phone (417) 820-3905
2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000
2900 N Lake Shore Dr
Chicago, IL 60657-5640
5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2569
520 W Main
Smithville, TN 37166
Phone (615) 215-5000
Hospital & facility affiliations
- Kootenai Health
- Mercy Hospital Springfield
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC-0602 | ID | MD | Neurology Physician |
| 036148630 | IL | MD | Neurology Physician |
| 310721 | LA | MD | Neurology Physician |
| 2020003928 | MO | MD | Neurology Physician |
| MD185800 | OR | MD | Neurology Physician |
| P0329 | TX | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Saginaw | Neurology | Current | Accepting new patients |
| Hickman Community Health Careservices | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| St. John Physicians, Inc | Current | Accepting new patients | |
| Scheurer Hospital | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Presence Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Family Medicine | Current | Accepting new patients |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Family Medicine | Current | Accepting new patients |
| Saint Thomas Hickman Hospital | Current | Accepting new patients | |
| Saint Thomas Medical Partners | Family Medicine | Current | Accepting new patients |
| Scheurer Hospital | Current | Accepting new patients | |
| St Vincents Ambulatory Care Inc | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Humphreys County Community Health Services, Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Legacy Clinics LLC | Family Medicine | Current | Accepting new patients |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Scheurer Hospital | Current | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Family Medicine | Current | Accepting new patients |
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Humphreys County Community Health Services Inc | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Family Medicine | Current | Accepting new patients |
| Saint Thomas Hickman Hospital | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Family Medicine | Current | Accepting new patients |
| Billings Clinic | Family Medicine | Current | Accepting new patients |
| Sacred Heart Health System Inc | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| St. John Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Family Medicine | Current | Accepting new patients |
| Presence Healthcare Services | Family Medicine | Current | Accepting new patients |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| Neurology Consultants of Dallas, P.a. | Neurology | Current | Accepting new patients |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| St Vincents Ambulatory Care Inc | Current | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Family Medicine | Past | Accepting new patients |
| Billings Clinic | Past | Accepting new patients | |
| Scheurer Hospital | Past | Accepting new patients | |
| Piedmont Athens Specialty Care LLC | Past | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations (25 of 41)
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000
5153 N 9th Ave
Ste 404
Pensacola, FL 32504
Phone (850) 416-2554
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
700 W Ironwood Dr
Ste 158
Coeur D Alene, ID 83814
Phone (208) 625-5100
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
62311 Collection Ctr Dr
Chicago, IL 60693
9900 Birch Run Rd
Ste D
Birch Run, MI 48415
Phone (989) 624-1575
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
170 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-3223
168 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-2141
108 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-7301
3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353
800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
805 W Cedar St
Standish, MI 48658
Phone (989) 846-3500
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
1923 S Utica Ave
Lowr
Tulsa, OK 74104
Phone (918) 744-2071
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
Interoperability endpoints
- nabsalom194146@direct.renown.org
- nabsalom839468@direct.multicare.org
- nabsalom@crhn.cernerdirect.com
- nabsalom513583@direct.ghs.myhfn.org
- nabsalom1159015@direct.hfhs.org
- nabsalom32889@lakeland.midirect.net
Organizations & group practices 46
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
- Glendale, WI
- NPI 1609881077
Family Medicine
-
- Psychiatry Physician
- Coeur D Alene, ID
- NPI 1174661151
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Multi-Specialty Clinic/Center
- Elk Grove Village, IL
- NPI 1932216819
Family Medicine
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
Family Medicine
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1417987124
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
- Critical Access Hospital
- Waverly, TN
- NPI 1235387044
-
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coeur D Alene, ID
- NPI 1992798409
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1770744112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8750 MEDITERRANEAN DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752383742",
"fax_number": "239-208-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7259 S BINGHAM JUNCTION BLVD",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840474860",
"telephone_number": "801-264-6400"
}
],
"practiceLocations": [
{
"address_1": "2003 Kootenai Health Way",
"address_purpose": "LOCATION",
"city": "Coeur D Alene",
"state": "ID",
"postal_code": "838146051",
"country_code": "US",
"telephone_number": "208-625-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1055 N Curtis Rd",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837061309",
"country_code": "US",
"telephone_number": "208-302-4200",
"fax_number": "208-302-4255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2222 Vela Dr",
"address_purpose": "LOCATION",
"city": "Harlingen",
"state": "TX",
"postal_code": "785508981",
"country_code": "US",
"telephone_number": "956-804-5851",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABSALOM",
"first_name": "NICHOLAS",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-18",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "2020003928",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036148630",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "LA",
"license": "310721",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "ID",
"license": "MC-0602",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OR",
"license": "MD185800",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME134160",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "P0329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3115814",
"state": "NH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nabsalom839468@direct.multicare.org",
"affiliation": "N",
"address_1": "2003 Kootenai Health Way",
"city": "Coeur D Alene",
"state": "ID",
"country_code": "US",
"postal_code": "838146051",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Midvale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.