Individual provider Active NPI

Mahmoud Awni Salem, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Salem, VA
National Provider Identifier
1780978296
Registry record updated Sep 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301104 Issued in VA
Practice address
1934 Braeburn Dr
Salem, VA 24153-7302
Phone
(540) 982-0253
Fax
(540) 982-1996
NPI assigned
Jun 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine Podiatrist 213ES0000X 0103301104 VA
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301104 VA Primary

Addresses

Primary practice location

1934 Braeburn Dr
Salem, VA 24153-7302

Mailing address

1934 Braeburn Dr
Salem, VA 24153-7302
Phone (540) 982-0253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140814000880 VA Practitioner - Podiatry 0547487571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem Foot and Ankle Specialists IncGroup PAC ID 7719212380, 2 clinicians

Practice addresses (Care Compare)

876 E Main St
Unit B
Bedford, VA 24523-2904
Phone (540) 587-6963

Hospital & facility affiliations

  • Lewisgale Medical Center Hospital, Salem, VA, CCN 490048

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue113
Removal of skin lesions17
Removal of nail tissue461
Removal or shaving of skin growth352
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103301104VAMDSports Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Foot & Ankle Specialists Inc Sports Medicine CurrentSince Aug 1, 2019 Accepting new patients
Salem Foot & Ankle Specialists Inc Foot & Ankle Surgery CurrentSince Jan 3, 2019 Accepting new patients

Locations

876 E Main St
#B
Bedford, VA 24523
Phone (540) 587-6963

1934 Braeburn Dr
Salem, VA 24153
Phone (540) 982-0253

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567382400000",
    "number": "1780978296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537302",
            "telephone_number": "540-982-0253",
            "fax_number": "540-982-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537302",
            "telephone_number": "540-982-0253",
            "fax_number": "540-982-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEM",
        "first_name": "MAHMOUD",
        "middle_name": "AWNI",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2019-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "VA",
            "license": "0103301104",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

Verify at the official NPI Registry.