NPIMap

Individual provider Active NPI

Charbel Antoine Salem, M.D.

  • Nephrology Physician
  • Ashland, KY
National Provider Identifier
1881851087
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
43957 Issued in KY
Practice address
613 23Rd St Ste 130
Ashland, KY 41101-2876
Phone
(606) 329-9335
Fax
(606) 324-6383
NPI assigned
May 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35.098084 OH
Nephrology Physician 207RN0300X 43957 KY Primary

Addresses

Primary practice location

613 23Rd St Ste 130
Ashland, KY 41101-2876

Mailing address

PO Box 2379
Ashland, KY 41105-2379
Phone (606) 329-9335

Other identifiers 3

IdentifierTypeStateIssuer
7100175080MedicaidKY
3150656MedicaidOH
3810020478MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110711000248 KY Practitioner - Nephrology 1759569015 Reassigns benefits to 1 organization
I20120305000554 OH Practitioner - Nephrology 1759569015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kings Daughters Medical Specialties IncGroup PAC ID 6103968029, shared by 2 NPIs, 397 clinicians

Practice addresses (Care Compare)

100 Bellefonte Dr
Grayson, KY 41143-1820
Phone (606) 329-9335

1109 Bellefonte Rd
Flatwoods, KY 41139-2503
Phone (606) 836-8086

1242 Crescent Dr
Wheelersburg, OH 45694-9376
Phone (740) 574-8441

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000

391 W Tom T Hall Blvd
Olive Hill, KY 41164-7688
Phone (606) 286-8039

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43957KYMDNephrology Physician
35.098084OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc CurrentSince Sep 6, 2011 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Sep 6, 2011 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Jan 19, 2012 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Kings Daughters Medical Specialties Inc Nephrology Past Accepting new patients
Tri State Nephrology PSC Past Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

613 23rd St
Ste 510
Ashland, KY 41101

100 Bellefonte Dr
Grayson, KY 41143
Phone (606) 474-0669

1729 Kinneys Ln
Ste 202
Portsmouth, OH 45662
Phone (740) 353-8100

1242 Crescent Dr
Wheelersburg, OH 45694
Phone (740) 574-8441

Interoperability endpoints

  • Direct secure messaging: csalem26928@direct.kdhealth.us

Organizations & group practices 6

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 4

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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1881851087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379",
            "telephone_number": "606-329-9335",
            "fax_number": "606-324-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 23RD ST STE 130",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012876",
            "telephone_number": "606-329-9335",
            "fax_number": "606-324-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEM",
        "first_name": "CHARBEL",
        "middle_name": "ANTOINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35.098084",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "43957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100175080",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3150656",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810020478",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.