NPIMap

Individual provider Active NPI

Jonny Salim, MD

  • Family Medicine Physician
  • New Prague, MN
National Provider Identifier
1982866505
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53979 Issued in MN
Practice address
301 2ND St NE
New Prague, MN 56071-1709
Phone
(952) 758-4431
NPI assigned
Jun 25, 2008
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 53979 MN Primary
Family Medicine Physician 207Q00000X 4301081690 MI

Addresses

Primary practice location

301 2ND St NE
New Prague, MN 56071-1709

Mailing address

301 2ND St NE
New Prague, MN 56071-1709
Phone (952) 758-4431

Other practice location 1

1460 N Center Rd
Burton, MI 48509-1429
Phone (810) 715-4300

Other practice location 2

1460 N Center Rd
Burton, MI 48509-1429
Phone (810) 715-4300

Other practice location 3

625 S 4th St
Le Sueur, MN 56058
Phone (507) 665-6299

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsalim81925@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110804000591 MN Practitioner - Family Practice 3678742814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mayo Clinic Health System-Southwest Minnesota RegionGroup PAC ID 4688585771, shared by 6 NPIs, 658 clinicians

Practice addresses (Care Compare)

301 2ND St NE
New Prague, MN 56071-1709
Phone (952) 758-4431

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Jul 1, 2011 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Jul 1, 2011 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Cura of Le Sueur LLC Past Accepting new patients

Locations

625 S 4th St
Le Sueur, MN 56058
Phone (507) 665-6299

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

200 Alton Ave SE
New Prague, MN 56071
Phone (952) 758-3132

212 10th Ave NE
New Prague, MN 56071
Phone (952) 758-4431

301 2nd St NE
New Prague, MN 56071
Phone (952) 758-4431

Interoperability endpoints

  • Direct secure messaging: jsalim81925@ehrdirect.mayoclinicmsg.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1982866505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 2ND ST NE",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560711709",
            "telephone_number": "952-758-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 2ND ST NE",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560711709",
            "telephone_number": "952-758-4431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1460 N Center Rd",
            "address_purpose": "LOCATION",
            "city": "Burton",
            "state": "MI",
            "postal_code": "485091429",
            "country_code": "US",
            "telephone_number": "810-715-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1460 N Center Rd",
            "address_purpose": "LOCATION",
            "city": "Burton",
            "state": "MI",
            "postal_code": "485091429",
            "country_code": "US",
            "telephone_number": "810-715-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Le Sueur",
            "state": "MN",
            "postal_code": "56058",
            "country_code": "US",
            "telephone_number": "507-665-6299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALIM",
        "first_name": "JONNY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "53979",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301081690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsalim81925@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "301 2nd St NE",
            "city": "New Prague",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560711709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Prague, MN

Sources for this page

Verify at the official NPI Registry.