Active NPI
Ahmed Mustafa Saleem, MD
- Internal Medicine Physician
- Potomac, MD
National Provider Identifier
1972675007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101235543
- Practice address
- 8404 Tuckerman LN
Potomac, MD 20854-3156 - Phone
- (301) 299-0332
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101235543 | VA | Primary |
Addresses
Primary practice location
8404 Tuckerman LN
Potomac, MD 20854-3156
Mailing address
8404 Tuckerman LN
Potomac, MD 20854-3156
Phone (301) 299-0332
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972675007 | Medicaid | VA | |
| 413958500 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
317 E Diamond Ave
Suite C
Gaithersburg, MD 20877-5327
Phone (240) 246-1111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101235543 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olde Towne Urgent Care, LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Fredericksburg, LLC | Internal Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Virginia Hospitalists Inc | Internal Medicine | Past | Accepting new patients |
Locations
317 E Diamond Ave
Ste C
Gaithersburg, MD 20877
Phone (240) 246-1111
Interoperability endpoints
- https://api.platform.athenahealth.com/10530/brand/1/csg/1/fhir/r4
- ahmed.saleem.1@10530.direct.athenahealth.com
- ahmed.saleem.2@10530.direct.athenahealth.com
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1447577572
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1972675007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8404 TUCKERMAN LN",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208543156",
"telephone_number": "301-299-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8404 TUCKERMAN LN",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208543156",
"telephone_number": "301-299-0332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEEM",
"first_name": "AHMED",
"middle_name": "MUSTAFA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101235543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972675007",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "413958500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.