NPIMap

Organization Active NPI

Access and Vascular Care

  • Nephrology Physician
  • Oak Park, MI
National Provider Identifier
1831520212
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
NS034670 Issued in MI
Legal business name
ACCESS AND VASCULAR CARE
Practice address
10861 W 10 Mile Rd
Oak Park, MI 48237-1745
Phone
(248) 268-1135
Fax
(248) 268-1191
NPI assigned
Dec 10, 2013
Last updated
Apr 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Dr. Nanda G Salem, M.D.NPI 1932173705
Title
President
Phone
(248) 979-5446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NS034670 MI Primary
Vascular Surgery Physician 2086S0129X NS034670 MI

Addresses

Primary practice location

10861 W 10 Mile Rd
Oak Park, MI 48237-1745

Mailing address

10861 W 10 Mile Rd
Oak Park, MI 48237-1745
Phone (248) 268-1135

Other identifiers 5

IdentifierTypeStateIssuer
B48525OtherHAP
NS034670OtherBCBSM
7588998OtherCIGNA
4661535OtherAETNA
NS034670OtherBCN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140421000837 MI Part B Supplier - Clinic/Group Practice 8628200987 Receives reassigned benefits from 14 practitioners
Practice locations: Oak Park, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1831520212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10861 W 10 MILE RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371745",
            "telephone_number": "248-268-1135",
            "fax_number": "248-268-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 W 10 MILE RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371745",
            "telephone_number": "248-268-1135",
            "fax_number": "248-268-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS AND VASCULAR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "NANDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-979-5446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "NS034670",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "NS034670",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "B48525",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "NS034670",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7588998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4661535",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "NS034670",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.