Individual provider Active NPI

Ahmed Mustafa Saleem, MD

  • Internal Medicine Physician
  • Potomac, MD
National Provider Identifier
1972675007
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101235543 Issued in VA
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

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1972675007MedicaidVA
413958500MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151028001535 DC Practitioner - Internal Medicine 6709982549 Reassigns benefits to 2 organizations

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
Olde Towne Primary Care LLCGroup PAC ID 3476831314, 2 clinicians
Olde Towne Urgent Care LLCGroup PAC ID 6406165836, 2 clinicians

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

LicenseStateTypeSpecialty
0101235543VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olde Towne Urgent Care, LLC CurrentSince Jun 1, 2015 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

  • FHIR API: https://api.platform.athenahealth.com/10530/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ahmed.saleem.1@10530.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.