Active NPI
Andrea Paola Salemi, PHYSICIAN ASSISTANT
- Physician Assistant
- Humble, TX
National Provider Identifier
1942939756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA15825
- Practice address
- 104 E Main St
Humble, TX 77338-4513 - Phone
- (281) 548-7334
- Fax
- (281) 548-7363
- NPI assigned
- Jun 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | PA15825 | TX | |
| Physician Assistant | 363A00000X | PA15825 | TX | Primary |
Addresses
Primary practice location
104 E Main St
Humble, TX 77338-4513
Mailing address
12377 Merit Dr Ste 300
Dallas, TX 75251-3126
Phone (972) 957-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA15825 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Pediatrics Associates of Humble | Pediatrics | Past | Accepting new patients |
| Topcare Medical Group Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/18300/brand/1/csg/1/fhir/r4
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.
-
- Pediatrics Physician
- Humble, TX
- NPI 1528142296
-
- Specialist
- Dallas, TX
- NPI 1730337163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1942939756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12377 MERIT DR STE 300",
"city": "DALLAS",
"state": "TX",
"postal_code": "752513126",
"telephone_number": "972-957-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 E MAIN ST",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773384513",
"telephone_number": "281-548-7334",
"fax_number": "281-548-7363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEMI",
"first_name": "ANDREA",
"middle_name": "PAOLA",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "PA15825",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA15825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.