Active NPI
Salina Faidhalla, MD
- Gastroenterology Physician
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 73434
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Promoting interoperability
- 95
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 141 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 151 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73434 | AZ | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Valley Gastroenterology Consultants, P.C. | Gastroenterology | Current | Accepting new patients |
| Detroit Medical Center | Past | Accepting new patients | |
| Southeast Valley Endoscopy Center,LLC | Past | 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
- 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.
-
- Gastroenterology Physician
- Chandler, AZ
- NPI 1104861905
-
- Ambulatory Surgical Clinic/Center
- Chandler, AZ
- NPI 1699943290
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1356510085
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chandler Regional Medical Center
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
dba St. Josephs Hospital and Medical Center Emergency Dept-Litchfield Park
- Emergency Care Clinic/Center
- Litchfield Park, AZ
- NPI 1265065445
Hospital
-
dba St. Josephs Hospital and Medical Center Emergency Dept-Glendale
- Emergency Care Clinic/Center
- Glendale, AZ
- NPI 1609408665
Hospital
-
dba St. Joseph's Hospital and Medical Center
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
-
dba St. Joseph's Westgate Medical Center
- General Acute Care Hospital
- Glendale, AZ
- NPI 1992131734
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.