Organization Active NPI

Salem Medical P.C.

  • Internal Medicine Physician
  • Warren, MI
National Provider Identifier
1780118497
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301085710 Issued in MI
Legal business name
SALEM MEDICAL P.C.
Practice address
28111 Hoover Rd
Ste 5
Warren, MI 48093-4153
Phone
(586) 854-0098
Fax
(248) 220-4269
NPI assigned
Apr 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Mrs. Farah K Salem, M.D.NPI 1093979593
Title
President
Phone
(586) 578-9606

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301085710 MI Primary

Addresses

Primary practice location

28111 Hoover Rd
Ste 5
Warren, MI 48093-4153

Mailing address

28111 Hoover Rd Ste 5a
Warren, MI 48093-4153
Phone (586) 578-9606

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170707000196 MI Part B Supplier - Clinic/Group Practice 7315216314 Receives reassigned benefits from 1 practitioner
Practice locations: Madison Heights, MI; Warren, MI; Detroit, 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
23D2132309Salem Medical P C28111 Hoover Road Suite 5 a, Warren, MI 48093Certificate of waiverJun 15, 2027

National Provider Directory

National Provider Directory

Locations

28111 Hoover Rd
Ste 5
Warren, MI 48093
Phone (313) 278-7750

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCIABD

Practitioners & affiliated clinicians

Practitioners 1

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": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1780118497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28111 HOOVER RD STE 5A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934153",
            "telephone_number": "586-578-9606",
            "fax_number": "586-578-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28111 HOOVER RD",
            "address_2": "STE 5",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934153",
            "telephone_number": "586-854-0098",
            "fax_number": "248-220-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "FARAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-578-9606",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301085710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.