Individual provider Active NPI

Nicholas Michael Absalom, MD

  • Neurology Physician
  • Midvale, UT
National Provider Identifier
1770744112
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
P0329 Issued in TX
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

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3115814MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
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, IN13 enrollments
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 13

Enrollment IDStateProvider typePAC IDDetails
I20120711000488 TX Practitioner - Neurology 5395900633 Reassigns benefits to 3 organizations
I20181128001138 TN Practitioner - Neurology 5395900633 Reassigns benefits to 3 organizations
I20181212000860 WA Practitioner - Neurology 5395900633 Reassigns benefits to 1 organization
I20181212001252 OR Practitioner - Neurology 5395900633 Reassigns benefits to 1 organization
I20190619002111 FL Practitioner - NeurologyPractitioner - Neuropsychiatry 5395900633 Reassigns benefits to 2 organizations
I20190701002478 MI Practitioner - HospitalistPractitioner - Neurology 5395900633 Reassigns benefits to 3 organizations
I20210924000747 MO Practitioner - Neurology 5395900633 Reassigns benefits to 1 organization
I20220422000960 ID Practitioner - Neurology 5395900633 Reassigns benefits to 1 organization
I20240904004043 WI Practitioner - Neurology 5395900633 Reassigns benefits to 1 organization
I20250205000200 NM Practitioner - Neurology 5395900633 Reassigns benefits to 1 organization
I20250529001186 IL Practitioner - Neurology 5395900633 Reassigns benefits to 1 organization
I20260318000333 OK Practitioner - Neurology 5395900633 Reassigns benefits to 1 organization
I20260508001335 IN Practitioner - Neurology 5395900633 Reassigns benefits to 1 organization

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
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, 1,121 clinicians
St Vincent'S Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians
Presence Healthcare ServicesGroup PAC ID 2860396769, 69 clinicians
Ascension Medical Group-Southeast Wisconsin IncGroup PAC ID 8628980943, 551 clinicians
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

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 Hospital, Coeur D'Alene, ID, CCN 130049
  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MC-0602IDMDNeurology Physician
036148630ILMDNeurology Physician
310721LAMDNeurology Physician
2020003928MOMDNeurology Physician
MD185800ORMDNeurology Physician
P0329TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw Neurology CurrentSince Mar 10, 2025 Accepting new patients
Hickman Community Health Careservices CurrentSince Aug 1, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Nov 20, 2018 Accepting new patients
St. John Physicians, Inc CurrentSince Mar 15, 2026 Accepting new patients
Scheurer Hospital CurrentSince Jul 1, 2025 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Presence Healthcare Services CurrentSince May 1, 2025 Accepting new patients
Presbyterian Healthcare Services Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Kootenai Health, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Family Medicine CurrentSince Jun 22, 2024 Accepting new patients
Saint Thomas Hickman Hospital Current Accepting new patients
Saint Thomas Medical Partners Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Scheurer Hospital Current Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Dec 1, 2025 Accepting new patients
Lakeland Medical Practices CurrentSince May 13, 2019 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Mar 10, 2025 Accepting new patients
Humphreys County Community Health Services, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Kootenai Health, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Legacy Clinics LLC Family Medicine CurrentSince Oct 23, 2018 Accepting new patients
Lakeland Medical Practices CurrentSince May 13, 2019 Accepting new patients
Scheurer Hospital CurrentSince Jul 1, 2025 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 CurrentSince Aug 1, 2025 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Sep 28, 2021 Accepting new patients
Saint Thomas Hickman Hospital CurrentSince Aug 1, 2025 Accepting new patients
Kootenai Health, Inc. Current Accepting new patients
BHS Physicians Network, Inc Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Billings Clinic Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Sacred Heart Health System Inc CurrentSince Feb 1, 2026 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jan 1, 2025 Accepting new patients
St. John Physicians, Inc. Family Medicine CurrentSince Mar 15, 2026 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Sep 28, 2021 Accepting new patients
Presence Healthcare Services Family Medicine CurrentSince May 1, 2025 Accepting new patients
BHS Physicians Network, Inc CurrentSince Mar 1, 2025 Accepting new patients
Neurology Consultants of Dallas, P.a. Neurology CurrentSince Jun 1, 2012 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Nov 20, 2018 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Dec 1, 2025 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

  • Direct secure messaging: nabsalom194146@direct.renown.org
  • Direct secure messaging: nabsalom839468@direct.multicare.org
  • Direct secure messaging: nabsalom@crhn.cernerdirect.com
  • Direct secure messaging: nabsalom513583@direct.ghs.myhfn.org
  • Direct secure messaging: nabsalom1159015@direct.hfhs.org
  • Direct secure messaging: 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.

View all 46

Hospital & facility affiliations 10

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": "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

Verify at the official NPI Registry.