Salam O Hadrami, MD
Individual provider Active NPI Hospitalist Physician · Canton, GA
NPI 1922072263 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1922072263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 051468 (GA)
- Practice address
- 450 Northside Cherokee Blvd
Canton, GA 30115-8015 - Phone
- (770) 224-1000
- Fax
- (770) 224-2451
- NPI assigned
- Feb 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Atlanta Professional Services LLC
Practice addresses (Care Compare)
450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000
Hospital & facility affiliations
- Northside Hospital Cherokee
- Northside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.79 of 100
- Quality
- 98.74
- Improvement activities
- 40
- Cost
- 83.11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121212000405 | GA | Practitioner - Hospitalist | 5890719512 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101232732 | VA | MD | Internal Medicine Physician |
| 051468 | GA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Professional Services LLC | Hospitalist | Current |
Accepting new patients |
| Inpatient Medical Services, P.a. | Internal Medicine | Past | Accepting new patients |
| Northside Hospital, Inc. | Past | Accepting new patients |
Locations
450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101232732 | VA | |
| Hospitalist Physician | 208M00000X | 051468 | GA | Yes |
Addresses
Primary practice location
450 Northside Cherokee Blvd
Canton, GA 30115-8015
Mailing address
1147 Independence Blvd
Virginia Beach, VA 23455-5545
Phone (757) 460-1207
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101232732 | Other | VA | VIRGINIA MEDICAL LICENSE |
Other providers in Canton, GA
- Edmund Warren Gubler Jr.
- Ethan Gudger
- Sirisha Guthikonda
- Matthew Ryan Haack
- Garrett Hachem
- John C Haight
- Kathryn Azelia Hale
- Donna Carol Haley
- Heather J Hall
- Keoshia Kristina Hall
All providers in Canton, GA · Hospitalist Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. 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.