Individual provider Active NPI

Nada Salem

  • Physician Assistant
  • Dearborn Heights, MI
National Provider Identifier
1922468438
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601009163 Issued in MI
Practice address
6221 N Telegraph Rd
Dearborn Heights, MI 48127-3222
Phone
(313) 561-2200
Fax
(313) 561-2211
NPI assigned
Feb 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.004627RX OH
Physician Assistant 363A00000X 5601009163 MI Primary

Addresses

Primary practice location

6221 N Telegraph Rd
Dearborn Heights, MI 48127-3222

Mailing address

6115 Whitefield St
Dearborn Heights, MI 48127-3012
Phone (216) 704-6579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210611001496 NY Practitioner - Physician Assistant 3870884315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Allied Healthcare Physician PLLCGroup PAC ID 8224079744, 16 clinicians

Practice addresses (Care Compare)

150 Lockwood Ave
Suite 16
New Rochelle, NY 10801-4912
Phone (914) 235-2352

340 City Island Ave
Bronx, NY 10464-1326
Phone (718) 885-0333

444 E Boston Post Rd
Suite 201
Mamaroneck, NY 10543-3704
Phone (914) 834-1777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.004627RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Phyllis Mandel MD PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1922468438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 WHITEFIELD ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273012",
            "telephone_number": "216-704-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 N TELEGRAPH RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273222",
            "telephone_number": "313-561-2200",
            "fax_number": "313-561-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEM",
        "first_name": "NADA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004627RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

Verify at the official NPI Registry.