Individual provider Active NPI

Wadid Youssef Zaky Salama, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Berlin, MD
National Provider Identifier
1922205079
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
D74778 Issued in MD
Practice address
10231 Old Ocean City Blvd Ste 208
Berlin, MD 21811-3568
Phone
(240) 616-6006
Fax
(240) 616-2828
NPI assigned
Jul 2, 2007
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 0101252883 VA
Pain Medicine (Anesthesiology) Physician 207LP2900X 2016-00023 NC
Pain Medicine (Anesthesiology) Physician 207LP2900X C1-0012391 DE
Pain Medicine (Anesthesiology) Physician 207LP2900X D74778 MD Primary
Internal Medicine Physician 207R00000X 232877 MA

Addresses

Primary practice location

10231 Old Ocean City Blvd Ste 208
Berlin, MD 21811-3568

Mailing address

10231 Old Ocean City Blvd Ste 208
Berlin, MD 21811-3568
Phone (240) 616-6006

Other identifiers 1

IdentifierTypeStateIssuer
1922205079MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160108000050 MD Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 3577714674 Reassigns benefits to 1 organization
I20220427003306 DE Practitioner - Pain ManagementPractitioner - Anesthesiology 3577714674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology, Interventional Pain Management
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

10231 Old Ocean City Blvd
Suite 208
Berlin, MD 21811-3568
Phone (240) 616-6006

1305 S Salisbury Blvd
Salisbury, MD 21801-6845
Phone (667) 253-2323

96 Atlantic Ave
Suite 103
Ocean View, DE 19970-9103
Phone (240) 616-6006

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.98 of 100Reported as individual
Quality
74.08
Promoting interoperability
77
Improvement activities
40
Cost
71.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D74778MDMDPain Medicine (Anesthesiology) Physician
232877MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KNJ Properties LLC Pain Medicine CurrentSince May 1, 2020 Accepting new patients
Delmarva Spine and Pain LLC Current Accepting new patients
Wadid Zaky, M.D., LLC Pain Medicine CurrentSince Oct 30, 2024 Accepting new patients
Jessco LLC Past Accepting new patients
Atlantic General Hospital Corporation Internal Medicine Past Accepting new patients

Locations

96 Atlantic Ave
Ste 103
Ocean View, DE 19970
Phone (302) 402-3015

10231 Old Ocean City Blvd
Ste 208
Berlin, MD 21811
Phone (240) 616-6006

10308 Old Ocean City Blvd
Berlin, MD 21811
Phone (410) 375-2450

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16670/brand/1/csg/1/fhir/r4
  • Direct secure messaging: wadidzakysalama@agh.allscriptsdirect.net

Organizations & group practices 5

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1922205079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10231 OLD OCEAN CITY BLVD STE 208",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113568",
            "telephone_number": "240-616-6006",
            "fax_number": "240-616-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10231 OLD OCEAN CITY BLVD STE 208",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113568",
            "telephone_number": "240-616-6006",
            "fax_number": "240-616-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKY SALAMA",
        "first_name": "WADID",
        "middle_name": "YOUSSEF",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "VA",
            "license": "0101252883",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "2016-00023",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "DE",
            "license": "C1-0012391",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D74778",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "232877",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922205079",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

Verify at the official NPI Registry.