Salam Al-Omaishi, MD
Individual provider Active NPI Family Medicine Physician · Wilkes Barre, PA
NPI 1962027334 · NPPES record last updated Oct 23, 2023
Key facts
- NPI
- 1962027334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD481789 (PA)
- Practice address
- 175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702-5040 - Phone
- (570) 829-2621
- Fax
- (570) 823-4332
- NPI assigned
- Jun 11, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 20
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Caring Community Health Center
Practice addresses (Care Compare)
175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702-5040
Phone (570) 829-2621
Hospital & facility affiliations
- Geisinger Wyoming Valley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230911003420 | PA | Practitioner - Family Practice | 2365865474 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Community Health Center | Current | Accepting new patients | |
| Caring Community Health Center | Current |
Accepting new patients | |
| Caring Community Health Center | Current |
Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
426 Airport Rd
Ste 125
Hazle Township, PA 18202
Phone (570) 829-2621
175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702
Phone (570) 821-0808
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | EC201065 | ME | |
| Family Medicine Physician | 207Q00000X | MD481789 | PA | Yes |
Addresses
Primary practice location
175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702-5040
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Other providers in Wilkes Barre, PA
- Damilola Akinola
- Philomena Akoh
- Akram Zalatimo,MD
- Ahmad Sameed Akram
- Al & SP Wilkesbarre LLC
- Karen Alaimo
- Richard Alaimo
- Kimberly Alba-Perry
- Terry Lynn Alberico-Rarig
- Rebecca Albert
All providers in Wilkes Barre, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 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.