SUMAIYA ZEHRA SALIM M.D.
NPI 1609204940
Psychiatry & Neurology - Neurology in Columbus, OH

Active since October 24, 2013PECOS EnrolledAccepts Medicare Assignment
87.65/100
CMS Quality Rating
793 W STATE ST, COLUMBUS, OH 43222(614) 234-7400 Get Directions Write a Review

NPPES record last updated: December 12, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sumaiya Zehra Salim M.d. NPPES

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

SUMAIYA ZEHRA SALIM M.D. (NPI 1609204940) is an individual neurology provider in Columbus, Ohio, licensed in Ohio (35.122664) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1609204940
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameSUMAIYA ZEHRA SALIMCredential: M.D.
Location Address793 W STATE STColumbus, OH 43222-1551
Mailing Address5821 Maple Tree LnColumbus, OH 43232-7745 · (585) 355-9963
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 24, 2013
Last NPPES UpdateDecember 12, 2018
NPI 1609204940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in OH · 35.122664 Licensed in IN · 01071491A
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
793 W STATE ST, Columbus, OH 43222

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sumaiya Zehra Salim M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315176948
PECOS Enrollment IDI20140131000376
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
219 services134 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
49 services43 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
42 services42 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services27 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
40 services39 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services34 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Marion General Hospital

Acute Care Hospitals · Marion, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360011
Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Delaware, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360210
Location561 West Central AvenueDelaware, OH 43015 · Delaware County
Emergency services Birthing friendly

Morrow County Hospital

Critical Access Hospitals · Mount Gilead, OH
OwnershipGovernment - Local
CMS Certification Number361313
Location651 West Marion RoadMount Gilead, OH 43338 · Morrow County
Emergency services

Hardin Memorial Hospital

Critical Access Hospitals · Kenton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361315
Location921 East Franklin StreetKenton, OH 43326 · Hardin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43222 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.45
Promoting Interoperability96.03
Improvement Activities40

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.

Internal Medicine
793 W STATE ST, ROOM 3N09
COLUMBUS, OH 43222
Radiology (Diagnostic Radiology)
793 W STATE ST
COLUMBUS, OH 43222
Specialist
793 W STATE ST
COLUMBUS, OH 43222
Nurse Practitioner (Adult Health)
793 W STATE ST
COLUMBUS, OH 43222
Radiology (Diagnostic Radiology)
793 W STATE ST
COLUMBUS, OH 43222
Anesthesiology
793 W STATE ST
COLUMBUS, OH 43222
Radiology (Diagnostic Radiology)
793 W STATE ST
COLUMBUS, OH 43222
Radiology (Diagnostic Radiology)
793 W STATE ST
COLUMBUS, OH 43222

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 Sumaiya Salim's NPI number?

The NPI number for Sumaiya Salim is 1609204940. It was assigned to this individual provider in the NPPES registry on October 24, 2013.

Where is Sumaiya Salim located?

Sumaiya Salim practices at 793 W State St, Columbus, OH 43222. The listed phone number is (614) 234-7400.

What is Sumaiya Salim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Sumaiya Salim enrolled in Medicare?

Yes. Sumaiya Salim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sumaiya Salim accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Sumaiya Salim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sumaiya Salim affiliated with any hospitals?

According to CMS data, Sumaiya Salim is affiliated with Riverside Methodist Hospital, Marion General Hospital, Grady Memorial Hospital, Morrow County Hospital and Hardin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sumaiya Salim was last updated on December 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.