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Individual provider Active NPI

Samer Salka, M.D

  • Cardiovascular Disease Physician
  • Dearborn, MI
National Provider Identifier
1811956139
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
SS051535 Issued in MI
Practice address
15120 Michigan Ave
Suite a
Dearborn, MI 48126-2916
Phone
(313) 624-8417
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X SS051535 MI Primary

Addresses

Primary practice location

15120 Michigan Ave
Suite a
Dearborn, MI 48126-2916

Mailing address

6000 Hickory Tree TRL
Bloomfield, MI 48301-1340
Phone (734) 459-7444

Other identifiers 2

IdentifierTypeStateIssuer
4562789MedicaidMI
264294910OtherMITAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040203001008 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8820981913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Physician PartnersGroup PAC ID 8921482605, 79 clinicians

Practice addresses (Care Compare)

133 S Main St
Mount Clemens, MI 48043-2308
Phone (586) 468-1600

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 438-7880

20200 Outer Dr
Dearborn, MI 48124-2634
Phone (313) 924-8417

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (248) 471-8388

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting20
Pacemaker insertion or repair1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SS051535MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Physician Partners Current Accepting new patients
Alliance Health Professionals, PLLC Current Accepting new patients
Henry Ford Physician Partners Cardiovascular Disease CurrentSince Jan 1, 2025 Accepting new patients
Henry Ford Macomb Ancillary Services Current Accepting new patients
Internal Medicine Associates of Mt. Clemens, PC Current Accepting new patients
Harper Hutzel Hospital Past Accepting new patients
Michigan Cardiology Associates PC Cardiovascular Disease Past Accepting new patients

Locations

20200 Outer Dr
Dearborn, MI 48124
Phone (313) 624-8417

133 S Main St
Mount Clemens, MI 48043
Phone (586) 329-1880

Interoperability endpoints

  • Direct secure messaging: ssalka258398@direct.hfhs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1811956139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 HICKORY TREE TRL",
            "city": "BLOOMFIELD",
            "state": "MI",
            "postal_code": "483011340",
            "telephone_number": "734-459-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15120 MICHIGAN AVE",
            "address_2": "SUITE A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262916",
            "telephone_number": "313-624-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALKA",
        "first_name": "SAMER",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "SS051535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4562789",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "264294910",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.