Individual provider Active NPI

Tamanna Yussouf Salim, M.D.

  • Internal Medicine Physician
  • Somerset, NJ
National Provider Identifier
1801164074
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
45280 Issued in AZ
Practice address
17 Lenape Dr
Somerset, NJ 08873-4647
Phone
(908) 400-5041
NPI assigned
Dec 2, 2011
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 45280 AZ Primary

Addresses

Primary practice location

17 Lenape Dr
Somerset, NJ 08873-4647

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Other practice location 1

6544 W Thomas Rd Ste 11
Phoenix, AZ 85033-5740
Phone (602) 834-5515

Other names 1

  • Tamanna Yussouf Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tamanna.salim.1@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140513001069 AZ Practitioner - Internal Medicine 3577796861 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6544 W Thomas Rd
Suite 11
Phoenix, AZ 85033-5740
Phone (602) 834-5515

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45280AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Az PC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Centerwell Senior Primary Care Az PC Family Medicine Current Accepting new patients
Salim Medical Urgent Care Inc CurrentSince Dec 12, 2017 Accepting new patients
Salim Medical, LLC Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
Centerwell Senior Primary Care Az PC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Kelly H. Roy, MD, PC Internal Medicine PastSince Aug 16, 2004 Accepting new patients
Centerwell Senior Primary Care Az PC Family Medicine Past Accepting new patients

Locations

1465 E Northern Ave
Kingman, AZ 86409
Phone (928) 757-5522

6544 W Thomas Rd
Ste 11
Phoenix, AZ 85033
Phone (602) 834-5515

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2541/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tamanna.salim@centerwell.eclinicaldirectplus.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1801164074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LENAPE DR",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734647",
            "telephone_number": "908-400-5041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6544 W Thomas Rd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850335740",
            "country_code": "US",
            "telephone_number": "602-834-5515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALIM",
        "first_name": "TAMANNA",
        "middle_name": "YUSSOUF",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "45280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tamanna.salim.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6544 W Thomas Rd Ste 11",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850335740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAMANNA",
            "last_name": "YUSSOUF",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.