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AL-MOTASUMBELLAH AL-TAMIMY DO
NPI 1043079627
Student in an Organized Health Care Education/Training Program in Salem, VA

Active since March 18, 2024PECOS Enrolled
1900 ELECTRIC RD, SALEM, VA 24153(540) 444-4817 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Al-motasumbellah Al-tamimy Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AL-MOTASUMBELLAH AL-TAMIMY DO (NPI 1043079627) is an individual student in an organized health care education/training program in Salem, Virginia and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043079627
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAL-MOTASUMBELLAH AL-TAMIMYCredential: DO
Location Address1900 ELECTRIC RDSalem, VA 24153-7474
Mailing Address1900 Electric RdSalem, VA 24153-7474 · (540) 444-4817
Phone(540) 444-4817
Sole ProprietorNo
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 16, 2024
✔ NPI 1043079627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1900 ELECTRIC RD, Salem, VA 24153
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Al-motasumbellah Al-tamimy Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VISTA RADIOLOGY CONSULTANTS
Radiology (Vascular & Interventional Radiology)
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (813) 210-3319
JENNA LYNN POLLOCK
Student in an Organized Health Care Education/Training Program
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 776-4000
ACUTE SURGICAL CARE SPECIALISTS OF VIRGINIA, LLC
Surgery (Trauma Surgery)
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 776-4000
MARK D HAMILTON M.D.
Anesthesiology
1900 ELECTRIC RD, ANESTHESIA DEPARTMENT
SALEM, VA 24153
Salem City (540) 776-4000
MITCHELL SIMPSON CROWE DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 776-4000
SHEHRYAR KHANZADA DO
Student in an Organized Health Care Education/Training Program
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 444-4817
DISHABEN BHARATKUMAR PATEL
Student in an Organized Health Care Education/Training Program
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 761-8027
KRISTIN MIRENDA CRNA
Nurse Anesthetist, Certified Registered
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 493-4581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Al-motasumbellah Al-tamimy's NPI number?

The NPI number for Al-motasumbellah Al-tamimy is 1043079627. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Al-motasumbellah Al-tamimy located?

Al-motasumbellah Al-tamimy practices at 1900 Electric Rd, Salem, VA 24153. The listed phone number is (540) 444-4817.

What is Al-motasumbellah Al-tamimy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Al-motasumbellah Al-tamimy enrolled in Medicare?

Yes. Al-motasumbellah Al-tamimy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Al-motasumbellah Al-tamimy was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.