MAZHAR SALIM M.D. NPI 1013075449
Psychiatry & Neurology - Psychiatry in Corbin, KY

About MAZHAR SALIM M.D.

Mazhar Salim is a provider established in Corbin, Kentucky and his medical specialization is Psychiatry & Neurology with a focus in psychiatry with more than 28 years of experience. The NPI number of Mazhar Salim is 1013075449 and was assigned on December 2006. The practitioner's primary taxonomy code is 2084P0800X with license number 40049 (KY). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1013075449
Provider Name MAZHAR SALIM M.D.
Location Address1 TRILLIUM WAY CORBIN, KY 40701
Location Phone(606) 523-8779
Mailing Address2700 STANLEY GAULT PKWY STE 129 LOUISVILLE, KY 40223
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1995
Is Sole Proprietor?Yes
Enumeration Date12-05-2006
Last Update Date12-01-2020

A psychiatrist like Mazhar Salim M.d. are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.Mazhar Salim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Mazhar Salim is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Baptist Health Corbin.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 97.5, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code2084P0800X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationPsychiatry
License No.40049
License StateKY
Taxonomy DescriptionA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare
  • Railroad Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

MAZHAR SALIM M.D.
1 TRILLIUM WAY
CORBIN, KY
ZIP 40701
Phone: (606) 523-8779
Fax: (606) 523-8721

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Mailing Address

MAZHAR SALIM M.D.
2700 STANLEY GAULT PKWY STE 129
LOUISVILLE, KY
ZIP 40223
Phone: (502) 253-4900
Fax: (502) 489-5751


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID4789775842
PECOS Enrollment IDI20070806000004
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 82.5
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 97.5
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 21Psychiatric diagnostic evaluation with medical services (HCPCS:90792)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mazhar Salim is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
BAPTIST HEALTH CORBINONE TRILLIUM WAY
CORBIN, KY 40701
(606) 528-1212Acute Care Hospitals180080

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry19331MSNo

Taxonomy Description: a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
64129554MEDICAID (05)KY
K142481OTHER (01)KYMEDICARE PTAN
P01458484OTHER (01)KYRR MEDICARE

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013075449
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023071048
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 0 + 4 + 8 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1013075449 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659351575DR. CHARLA LATANE WAGERS PHARM.D.
Individual
Pharmacist1 TRILLIUM WAY BAPTIST REGIONAL MEDICAL CENTER PHARMACY
CORBIN, KY 40701
(606) 523-8545
1467407247 PHILLIP L. GOLDSTON NP
Individual
Nurse Practitioner1 TRILLIUM WAY
CORBIN, KY 40701
(606) 528-1212
1750337440 CHARLES LEE MARCUM M.D.
Individual
Emergency Medicine1 TRILLIUM WAY
CORBIN, KY 40701
(606) 528-1212
1659327278 KEITH A. CLIFTON M.D.
Individual
Emergency Medicine1 TRILLIUM WAY
CORBIN, KY 40701
(606) 528-1212
1073569471 NEIL PATIL NP
Individual
Nurse Practitioner1 TRILLIUM WAY
CORBIN, KY 40701
(606) 528-1212
1316986433 JACKY LYNN CRAWFORD M.D.
Individual
Emergency Medicine1 TRILLIUM WAY
CORBIN, KY 40701
(606) 528-1212
1962441097 SHERRI LEE HOGAN M.D.
Individual
Emergency Medicine1 TRILLIUM WAY
CORBIN, KY 40701
(606) 528-1212
1649219767 LAURA CLIFTON PA-C
Individual
Physician Assistant1 TRILLIUM WAY
CORBIN, KY 40701
(606) 528-1212
1639118755 DARRELL A PALLADINO MD
Individual
Emergency Medicine1 TRILLIUM WAY
CORBIN, KY 40701
(606) 528-1212
1972542462 JAMES A. YOUNG D.O.
Individual
Emergency Medicine1 TRILLIUM WAY
CORBIN, KY 40701
(606) 528-1212
1407962483DR. MOHAMMAD K SAFI M.D.
Individual
Psychiatry & Neurology (Psychiatry)1 TRILLIUM WAY
CORBIN, KY 40701
(606) 528-1212
1386748739WOMENS HEALTH ASSOCIATES PLLC
Organization
Family Medicine1 TRILLIUM WAY STE 200
CORBIN, KY 40701
(606) 528-5527
1144326299DR. WILLIAM EDWARD VINER MD
Individual
Obstetrics & Gynecology1 TRILLIUM WAY STE 200
CORBIN, KY 40701
(606) 528-5527
1700986924CORBIN RADIOLOGY, PLLC
Organization
Radiology (Diagnostic Radiology)1 TRILLIUM WAY
CORBIN, KY 40701
(606) 528-1212
1619078490DR. TERRI L DANIEL-CHUMBLEY M.D.
Individual
Radiology (Diagnostic Radiology)1 TRILLIUM WAY
CORBIN, KY 40701
(606) 528-1212
1639250426MR. HERBERT DALE JOHNSON BS, RPH
Individual
Pharmacist1 TRILLIUM WAY
CORBIN, KY 40701
(606) 528-1212
1669554309MR. JEFFREY HUFF RPH
Individual
Pharmacist1 TRILLIUM WAY
CORBIN, KY 40701
(606) 528-1212
1013094440COMMONWEALTH UROLOGY, PSC
Organization
Urology1 TRILLIUM WAY GROUND FLOOR ENTRANCE 5
CORBIN, KY 40701
(606) 523-8770
1225172588DR. MISTY DAWN PREWITT PHARMD
Individual
Pharmacist1 TRILLIUM WAY
CORBIN, KY 40701
(606) 528-1212
1770702375 LINDA FLOWERS
Individual
Social Worker (Clinical)1 TRILLIUM WAY
CORBIN, KY 40701
(606) 523-8521

Frequently Asked Questions

What is Mazhar Salim M.D. NPI number?

The NPI number assigned to Mazhar Salim M.D. is 1013075449, registered as an "individual" on December 05, 2006

Where is Mazhar Salim M.D. located?

The provider is located at 1 Trillium Way Corbin, Ky 40701 and the phone number is (606) 523-8779

Which is Mazhar Salim M.D. specialty?

The provider's speciality is Psychiatry & Neurology with a focus in Psychiatry

How many years of experience does Mazhar Salim M.D. have?

The provider has more than 28 years of experience.

What insurance does Mazhar Salim M.D. accept?

The provider might be accepting Medicaid, Medicare and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Mazhar Salim M.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are some of the services provided by Mazhar Salim M.D.?

The most common procedures or services performed by this practitioner are: Psychiatric diagnostic evaluation with medical services.

Is Mazhar Salim M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: BAPTIST HEALTH CORBIN. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Mazhar Salim M.D. was last updated on December 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]