Active NPI
Salem Medical P.C.
- Internal Medicine Physician
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301085710
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2132309 | Salem Medical P C | Certificate of waiver | Jun 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
28111 Hoover Rd
Ste 5
Warren, MI 48093
Phone (313) 278-7750
Interoperability endpoints
- 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.
-
- Internal Medicine Physician
- Warren, MI
- NPI 1093979593
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.