DR. MUBADDA A SALIM MD
NPI 1164467288
Specialist in Baltimore, MD

Active since June 20, 2006PECOS Enrolled
3700 KOPPERS ST, SUITE #155, BALTIMORE, MD 21227(410) 644-0550(410) 644-0533 Get Directions Write a Review

NPPES record last updated: December 8, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mubadda A Salim Md NPPES

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

DR. MUBADDA A SALIM MD (NPI 1164467288) is an individual specialist in Baltimore, Maryland, licensed in Maryland (D0040310) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164467288
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MUBADDA A SALIMCredential: MD
Location Address3700 KOPPERS ST, SUITE #155Baltimore, MD 21227-1019
Mailing Address3700 Koppers St, Suite #155Baltimore, MD 21227-1019 · (410) 644-0550 · Fax (410) 644-0533
Fax(410) 644-0533
Sole ProprietorYes
Enumeration DateJune 20, 2006
Last NPPES UpdateDecember 8, 2012
✔ NPI 1164467288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in MD · D0040310✔ Licensed in VA · 0101246900
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License D0040310 (MD), 0101246900 (VA)
3700 KOPPERS ST, Baltimore, MD 21227

Other Identifiers 4

Medicaid1164467288VA
Medicaid161461400MD
Medicare UPINF89193
Medicare PINB743MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mubadda A Salim 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.

Medicare Billing Reassignment

Medicare enrollment records show Mubadda Salim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
821 N EUTAW ST
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 966 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

Home Health
3700 KOPPERS ST, SUITE 130
BALTIMORE, MD 21227
Clinic/Center (Health Service)
3700 KOPPERS ST, STE 154
BALTIMORE, MD 21227

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 Mubadda Salim's NPI number?

The NPI number for Mubadda Salim is 1164467288. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Mubadda Salim located?

Mubadda Salim practices at 3700 Koppers St Suite #155, Baltimore, MD 21227. The listed phone number is (410) 644-0550.

What is Mubadda Salim's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mubadda Salim enrolled in Medicare?

Yes. Mubadda Salim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mubadda Salim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mubadda Salim reassigns Medicare benefits to University Of Maryland Community Medical Group, Inc. (Baltimore, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mubadda Salim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mubadda Salim was last updated on December 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.