Individual provider Active NPI

Hassan Nasim Salloum, M.D

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1972619500
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J9319 Issued in TX
Practice address
7102 Westwind
El Paso, TX 79912
Phone
(915) 581-5100
Fax
(915) 581-6100
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X J9319 TX Primary

Addresses

Primary practice location

7102 Westwind
El Paso, TX 79912

Mailing address

7102 Westwind
El Paso, TX 79912
Phone (915) 581-5100

Other identifiers 4

IdentifierTypeStateIssuer
103742602MedicaidTX
838723OtherTXBC/BS OF TEXAS
8AA313OtherTXBCBS
K2949MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070614000169 TX Practitioner - Pediatric Medicine 7911005012 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso CurrentSince Feb 15, 2018 Accepting new patients
Texan Urgent Care PLLC CurrentSince May 14, 2022 Accepting new patients
Texas Tech University Health Sciences Center El Paso Pediatrics CurrentSince Feb 15, 2018 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Tenet Hospitals Limited Past Accepting new patients
Tenet Hospitals Limited Past Accepting new patients
Hassan Salloum MD PA Pediatrics Past Accepting new patients
Tenet Hospitals Limited Past Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients

Locations

9100 Viscount Blvd
El Paso, TX 79925
Phone (915) 594-4475

12371 Edgemere Blvd
#207209
El Paso, TX 79938
Phone (915) 856-0008

1201 E Schuster Ave
Bldg 7
El Paso, TX 79902
Phone (915) 229-6448

4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

Interoperability endpoints

  • Direct secure messaging: hassan.salloum@direct.myhealthep.org

Organizations & group practices 9

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1972619500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7102 WESTWIND",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79912",
            "telephone_number": "915-581-5100",
            "fax_number": "915-581-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7102 WESTWIND",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79912",
            "telephone_number": "915-581-5100",
            "fax_number": "915-581-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLOUM",
        "first_name": "HASSAN",
        "middle_name": "NASIM",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J9319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103742602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS  OF TEXAS",
            "identifier": "838723",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AA313",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K2949",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.