Wisam A Salman, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301085757 Issued in MI

Practice address

15209 W Michigan Ave
Marshall, MI 49068-9570

Phone

(269) 781-9119

Fax

(269) 789-4347

NPI assigned

Jun 6, 2007

Last updated

Dec 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

PsychiatryAlso: Geriatric Psychiatry

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of MacombGroup PAC ID 4880581404, 81 clinicians

Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians

Arab Community Center for Economic and Social Services AccessGroup PAC ID 2668422346, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: direct@direct.bronsonhg.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Macomb

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton TWP, MI
  • NPI 1942532197
  Medicare reassignment Care Compare group NPD
• Ella E M Brown Charitable Circle

  dba Oaklawn Hospital

  • Psychiatry Physician
  • Marshall, MI
  • NPI 1366591794
  Medicare reassignment Care Compare group NPD
• Arab Community Center for Economic and Social Services Access

  • Community/Behavioral Health Agency
  • Dearborn, MI
  • NPI 1619285772
  Medicare reassignment Care Compare group
• Alternative Community Living, Inc.

  dba Hope Network - New Passages

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Saginaw, MI
  • NPI 1114131729
  Medicare reassignment NPD
• Bronson Battle Creek Hospital

  dba Bronson Medical Group

  • Internal Medicine Physician
  • Battle Creek, MI
  • NPI 1093119638

  Psychiatry

  Medicare reassignment NPD
• Alternative Community Living, Inc.

  dba Hope Network - New Passages

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Flint, MI
  • NPI 1164718441
  NPD
• Alternative Community Living, Inc.

  dba Hope Network - New Passages

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Clemens, MI
  • NPI 1992746622
  NPD
• Bronson Battle Creek Hospital

  dba Bronson Battle Creek Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Battle Creek, MI
  • NPI 1740351907
  NPD
• County of Macomb

  • Public Health or Welfare Agency
  • Mount Clemens, MI
  • NPI 1760462253
  NPD
• Ella E M Brown Charitable Circle

  dba Oaklawn Hospital

  • Diagnostic Radiology Physician
  • Marshall, MI
  • NPI 1043660467
  NPD
• Access Ipa

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1760682371
  NPD (past)
• Alternative Community Living, Inc.

  dba Hope Network - New Passages

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Flint, MI
  • NPI 1588874119
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1972706133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15209 W MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490689570",
            "telephone_number": "269-781-9119",
            "fax_number": "269-789-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15209 W MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490689570",
            "telephone_number": "269-781-9119",
            "fax_number": "269-789-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMAN",
        "first_name": "WISAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301085757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson HealthCare Group Direct Address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauri Rowe
• Bradley James Runyon, O.D.
• Bassem Sameh Naeem G Saad, MD
• Rachel Saeger, FNP
• Tarek Saleh, M.D
• Logan Saxton, PHARMD
• Kari Ann Scarbrough, FNP-C
• Laurie Schalow, MA, CCC-SLP
• Jeremiah Schnoor, M.D.
• Katherine Ann Schooley, MD

• Psychiatry Physician in Marshall, MI
• Providers in Marshall, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.

Verify at the official NPI Registry.