LOAY SALMAN MD
NPI 1477525897
Internal Medicine - Nephrology in Miami, FL


Quality Rating: 77.42 out of 100 score

NPI Status: Active since February 02, 2006

Contact Information

1611 NW 12TH AVE
BOX 016960 M851
MIAMI, FL
ZIP 33136
Phone: (305) 585-1111
Fax: (305) 243-3506

Get Directions Reviews

  • Individual
  • Male
  • Years of Experience 31
  • Internal Medicine
  • Nephrology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About LOAY SALMAN

Loay Salman is an internist established in Miami, Florida and his medical specialization is Internal Medicine with a focus in nephrology with more than 31 years of experience. The healthcare provider is registered in the NPI registry with number 1477525897 assigned on February 2006. The practitioner's primary taxonomy code is 207RN0300X with license number ME 95333 (FL). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1477525897
Provider Name
LOAY SALMAN MD
Gender
Male
Entity Type
Individual
Location Address
1611 NW 12TH AVE BOX 016960 M851 MIAMI, FL 33136
Location Phone
(305) 585-1111
Location Fax
(305) 243-3506
Mailing Address
1500 NW 12TH AVE # EAST1007 MIAMI, FL 33136
Mailing Phone
(305) 243-4664
Mailing Fax
(305) 243-3506
Medical School Name
OTHER
Graduation Year
1993
Is Sole Proprietor?
No
Enumeration Date
02-02-2006
Last Update Date
02-12-2009
Code Navigator

An internist like Loay Salman is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Loay Salman is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 77.42, 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.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
License No.
ME 95333
License State
FL
Taxonomy Description
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
AK081MEDICARE PIN (08)FL 
281099900MEDICAID (05)FL 
H13695MEDICARE UPIN (02) 

PECOS Enrollment and Medicare Participation Status

Loay Salman 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2365513371

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20160922001594

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS 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.

  • Final Score: 77.42 out of 100

    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.

  • Quality Score: 73.44

    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 Score: N/A

    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 Score: 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 activities measure category compromises 15% providers final MPIS scores.

    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 Score: 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.

  • Cost Score: 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.

Clinician Services

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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 276

    Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)

  • 208

    Hemodialysis procedure with one physician evaluation (HCPCS:90935)

  • 27

    Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Loay Salman is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ALBANY MEDICAL CENTER HOSPITAL43 NEW SCOTLAND AVENUE, MAIL CODE 34
ALBANY, NY 12208
(518) 262-2400Acute Care Hospitals

Reviews for LOAY SALMAN MD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1477525897
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2414710210818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 0 + 2 + 1 + 0 + 8 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1477525897 is valid because the calculated check digit 7 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
1740286251 KAREN CHITTY MD
Individual
Emergency Medicine1611 NW 12TH AVE
MIAMI, FL 33136
(305) 585-6913
1598761793MS. DEBRA JEANNE DIAZ CRNA
Individual
Nurse Anesthetist, Certified Registered1611 NW 12TH AVE
MIAMI, FL 33136
(305) 585-8684
1861498891 VALERIE DIAZ CRNA
Individual
Nurse Anesthetist, Certified Registered1611 NW 12TH AVE
MIAMI, FL 33136
(305) 585-6586
1386640282DR. SCOTT KOHL DO
Individual
Emergency Medicine1611 NW 12TH AVE
MIAMI, FL 33136
(954) 709-0966
1184620726MISS NATASHA ELISE ROBINSON PHARM.D.
Individual
Pharmacist (Pharmacotherapy)1611 NW 12TH AVE
MIAMI, FL 33136
(305) 585-7096
1376540971DR. JAY B.B. BLAKE PHARM.D.
Individual
Pharmacist (Pharmacotherapy)1611 NW 12TH AVE
MIAMI, FL 33136
(305) 585-7195
1578563565DR. CAMERON DEZFULIAN MD
Individual
Pediatrics (Pediatric Critical Care Medicine)1611 NW 12TH AVE
MIAMI, FL 33136
(305) 585-1111
1255326930DR. GINA ELIZABETH WHITE PHARM.D.
Individual
Pharmacist (Pharmacotherapy)1611 NW 12TH AVE PHARMACY DEPARTMENT
MIAMI, FL 33136
(305) 585-8906
1073509626DR. AYANNA D PHILLIPS PHARM.D.
Individual
Pharmacist (Pharmacotherapy)1611 NW 12TH AVE JACKSON MEMORIAL HOSPITAL PHARMACY DEPARTMENT
MIAMI, FL 33136
(305) 585-7308
1841272077MR. ABDUL MAJID MEMON MD
Individual
Emergency Medicine1611 NW 12TH AVE ECC ET 1195
MIAMI, FL 33136
(305) 585-6913
1548246259 ANDREW ERIC ROSENBERG MD
Individual
Pathology (Anatomic Pathology)1611 NW 12TH AVE
MIAMI, FL 33136
(305) 585-6303
1316917321DR. JOHN EDWARD SULLIVAN M.D.
Individual
Emergency Medicine1611 NW 12TH AVE JACKSON MEMORIAL HOSPITAL
MIAMI, FL 33136
(305) 585-7872
1437124534MS. CHIFFON ROCHELLE HOLIDAY ARNP
Individual
Nurse Practitioner (Family)1611 NW 12TH AVE
MIAMI, FL 33136
(954) 885-0443
1982670741MRS. MARIA SOCORRO TORRES-BURGOS ARNP
Individual
Nurse Practitioner1611 NW 12TH AVE
MIAMI, FL 33136
(305) 585-8946
1265408058 ANGELA ROSE BURRAFATO M.D.
Individual
Internal Medicine1611 NW 12TH AVE
MIAMI, FL 33136
(305) 585-6524
1114993755MR. DOUGLAS EUGENE HOUGHTON JR. ARNP
Individual
Nurse Practitioner (Critical Care Medicine)1611 NW 12TH AVE JACKSON HEALTH SYSTEM
MIAMI, FL 33136
(305) 585-1168
1184691008MRS. RHONDA JANE SMITH RN, MSN, ARNP
Individual
Nurse Practitioner (Adult Health)1611 NW 12TH AVE
MIAMI, FL 33136
(305) 585-6538
1437126778DR. WILLIAM W CULBERTSON MD
Individual
Ophthalmology1611 NW 12TH AVE M851
MIAMI, FL 33136
(305) 243-7688
1821066440 MONICA A. LUFT CRNA
Individual
Nurse Anesthetist, Certified Registered1611 NW 12TH AVE SOUTH WING RM 300
MIAMI, FL 33136
(305) 585-8684
1902865264 JAVIER ROMERO
Individual
Registered Nurse1611 NW 12TH AVE
MIAMI, FL 33136
(305) 585-6586

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477525897, enumerated in the NPI registry as an "individual" on February 02, 2006

The provider is located at 1611 Nw 12th Ave Box 016960 M851 Miami, Fl 33136 and the phone number is (305) 585-1111

The provider's speciality is Internal Medicine with taxonomy code 207RN0300X with a focus in Nephrology

The provider has more than 31 years of experience.

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

Yes, as of June 14, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a 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.

The most common procedures or services performed by this practitioner are: Dialysis services (4 or more physician visits per month), patient 20 years of age and older, Hemodialysis procedure with one physician evaluation and Dialysis services (2-3 physician visits per month), patient 20 years of age and older.

The practitioner is affiliated to the following hospital(s): ALBANY MEDICAL CENTER HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on February 02, 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.