NPIMap

Individual provider Active NPI

Khaleel Salahudeen, MD

  • Pulmonary Disease Physician
  • Surprise, AZ
National Provider Identifier
1811975089
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
34909 Issued in AZ
Practice address
18731 N. Reems Rd
#680
Surprise, AZ 85374
Phone
(623) 975-0592
Fax
(623) 975-0750
NPI assigned
Jan 6, 2006
Last updated
Jan 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 34909 AZ Primary

Addresses

Primary practice location

18731 N. Reems Rd
#680
Surprise, AZ 85374

Mailing address

13464 N. 93Rd Ave
#100
Peoria, AZ 85381
Phone (623) 933-0301

Other identifiers 1

IdentifierTypeStateIssuer
004451MedicaidAZ

Other names 1

  • Khaleelur Rahman Salahudeen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20060306000087 AZ Practitioner - Pulmonary Disease 2466424643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise Medical Management LLCGroup PAC ID 4880586437, 10 clinicians

Practice addresses (Care Compare)

13634 N 93Rd Ave
Suite 100
Peoria, AZ 85381-4915
Phone (623) 933-0301

18731 N Reems Rd
Suite F680
Surprise, AZ 85374-8644
Phone (623) 975-0592

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.5 of 100Reported as group
Quality
71.19
Improvement activities
40
Cost
78.68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pulmonary Physicians LTD Pulmonary Disease Past Accepting new patients
Sunrise Medical Associates LLC Internal Medicine PastSince Jan 1, 2006 Accepting new patients
Sun Health MRI Center Past Accepting new patients
Tri-County Medical Associates of PA, LLC Internal Medicine Past Accepting new patients
Malik Medical Associates,Inc Past Accepting new patients
Associated Medical Consultants, PC Internal Medicine Past Accepting new patients

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.

Hospital & facility affiliations 3

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1811975089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13464 N. 93RD AVE",
            "address_2": "#100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "623-933-0301",
            "fax_number": "623-933-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18731 N. REEMS RD",
            "address_2": "#680",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-975-0592",
            "fax_number": "623-975-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAHUDEEN",
        "first_name": "KHALEEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "34909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004451",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHALEELUR",
            "last_name": "SALAHUDEEN",
            "middle_name": "RAHMAN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.