SALSAPELA HIYTHAM SHABAN MD
NPI 1063351872
Student in an Organized Health Care Education/Training Program in O Fallon, IL

Q: What is Salsapela Shaban's NPI number?

The NPI number for Salsapela Shaban is 1063351872. It was assigned to this individual provider in the NPPES registry on March 26, 2026.

Q: What is Salsapela Shaban's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Salsapela Shaban was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since March 26, 2026PECOS Enrolled

3 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 62269(618) 233-5480(184) 445-8791 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2026, Mar 26, 2026 (2 updates tracked since 2026).

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About Salsapela Hiytham Shaban Md NPPES

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

SALSAPELA HIYTHAM SHABAN MD (NPI 1063351872) is an individual student in an organized health care education/training program in O Fallon, Illinois and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063351872

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSALSAPELA HIYTHAM SHABANCredential: MD

Location Address3 SAINT ELIZABETH BLVD STE 4000O Fallon, IL 62269-1284

Mailing Address3 Saint Elizabeth Blvd Ste 4000O Fallon, IL 62269-1284 · (618) 256-9355 · Fax (618) 206-2332

Phone(618) 233-5480

Fax(184) 445-8791

Sole ProprietorNo

Enumeration DateMarch 26, 2026

Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration

NPPES CertifiedMarch 30, 2026

✔ NPI 1063351872 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.

3 SAINT ELIZABETH BLVD STE 4000, O Fallon, IL 62269

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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)

Salsapela Hiytham Shaban Md 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.

MARA GRACE DOWNING MD

Student in an Organized Health Care Education/Training Program