Individual provider Active NPI

Salina Faidhalla, MD

  • Gastroenterology Physician
  • Chandler, AZ
National Provider Identifier
1801393772
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
73434 Issued in AZ
Practice address
875 S Dobson Rd Ste 1
Chandler, AZ 85224-5720
Phone
(480) 899-8900
NPI assigned
Apr 9, 2018
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 73434 AZ Primary

Addresses

Primary practice location

875 S Dobson Rd Ste 1
Chandler, AZ 85224-5720

Mailing address

23834 King Dr
Clinton TWP, MI 48035-2990
Phone (248) 225-3167

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
I20240821003112 AZ Practitioner - Internal MedicinePractitioner - Gastroenterology 7416352422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Valley Gastroenterology Consultants, P.C.Group PAC ID 9436142270, 32 clinicians

Practice addresses (Care Compare)

875 S Dobson Rd
Chandler, AZ 85224-5710
Phone (480) 899-9800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy141
Upper gastrointestinal (GI) endoscopy for acid reflux151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73434AZMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Valley Gastroenterology Consultants, P.C. Gastroenterology CurrentSince Jul 1, 2024 Accepting new patients
Detroit Medical Center Past Accepting new patients
Southeast Valley Endoscopy Center,LLC PastSince Jul 1, 2024 Accepting new patients

Locations

875 S Dobson Rd
Chandler, AZ 85224
Phone (480) 899-9800

875 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 899-8900

3591 S Mercy Rd
Ste 303
Gilbert, AZ 85297
Phone (480) 782-5005

Interoperability endpoints

  • Direct secure messaging: salina.faidhalla.1@13014.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1801393772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23834 KING DR",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480352990",
            "telephone_number": "248-225-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S DOBSON RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245720",
            "telephone_number": "480-899-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIDHALLA",
        "first_name": "SALINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "73434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.