Ahmad Al-Salameh, M.D.
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Oswego, NY
NPI 1821080334 · NPPES record last updated Sep 13, 2007
Key facts
- NPI
- 1821080334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 219506 (NY)
- Practice address
- 110 W 6TH St
Oswego, NY 13126-2507 - Phone
- (315) 349-5586
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
110 W 6TH St
Oswego, NY 13125-2507
Phone (315) 349-5586
Hospital & facility affiliations
- Oswego Hospital
- University Hospital S U N Y Health Science Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100927000035 | NY | Practitioner - Pathology | 1759407810 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oswego County Pathology PC | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
| Oswego Hospital | Current | Accepting new patients |
Locations
510 S 4th St
Fulton, NY 13069
Phone (315) 591-9442
110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 219506 | NY | Yes |
Addresses
Primary practice location
110 W 6TH St
Oswego, NY 13126-2507
Mailing address
4567 Crossroads Park Dr
2ND Floor
Liverpool, NY 13088-3589
Phone (315) 295-2100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02210759 | Medicaid | NY |
Other providers in Oswego, NY
- Maureen Adams
- Adirondack Physical & Occupational Therapy, LLC
- Adirondack Physical and Occupational Therapy LLC
- Emmanuel Agyapong
- Maryjane Aiello
- Cecily Ann Albach
- Ashley Rose Alberto
- Michael Bathan Alcasid
- Philip Joseph Aldi
- Lee Aldrich
All providers in Oswego, NY · Anatomic Pathology & Clinical Pathology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.