MOHAMMAD TAYSEER ABDUL-FATTAH SALLAM MD
NPI 1679120174
Pediatrics - Pediatric Critical Care Medicine in Des Moines, IA

Q: What is Mohammad Sallam's NPI number?

The NPI number for Mohammad Sallam is 1679120174. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Q: What is Mohammad Sallam's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Mohammad Sallam was last updated on July 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.

Active since August 20, 2019PECOS Enrolled

1111 6TH AVE, DES MOINES, IA 50314(515) 247-3330(515) 643-8839 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 18, 2024, Aug 20, 2019 (2 updates tracked since 2019).

On this page

About Mohammad Tayseer Abdul-fattah Sallam Md NPPES

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

MOHAMMAD TAYSEER ABDUL-FATTAH SALLAM MD (NPI 1679120174) is an individual pediatric critical care medicine provider in Des Moines, Iowa, licensed in Iowa (MD-52612) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679120174

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameMOHAMMAD TAYSEER ABDUL-FATTAH SALLAMCredential: MD

Location Address1111 6TH AVEDes Moines, IA 50314-2613

Mailing AddressPo Box 1475Des Moines, IA 50305-1475 · (515) 247-3330 · Fax (515) 643-8839

Phone(515) 247-3330

Fax(515) 643-8839

Sole ProprietorNo

Enumeration DateAugust 20, 2019

Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration

NPPES CertifiedJuly 18, 2024

✔ NPI 1679120174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in IA · MD-52612

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1111 6TH AVE, Des Moines, IA 50314

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohammad Tayseer Abdul-fattah Sallam 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 Mohammad Sallam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Clinics, Inc

Same address

Neurology

1111 6TH AVE, EAST TOWER SUITE A100
Des Moines, IA 50314

Reassigned Medicare billing, Iowa enrollment
516 clinicians in this Medicare group

NPI 1003096405 (515) 358-0011

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 20

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

MERCY CLINICS, INC

Psychiatry & Neurology (Neurology)

1111 6TH AVE, EAST TOWER SUITE A100
DES MOINES, IA 50314

Polk County (515) 358-0011

TODD EBERLE DO

Family Medicine

1111 6TH AVE
DES MOINES, IA 50314

Polk County (515) 643-8678

JOSEPH JANSKY DO

Family Medicine

1111 6TH AVE
DES MOINES, IA 50314

Polk County (515) 612-9595

MYLES KAWAMURA DO

Emergency Medicine

1111 6TH AVE, EMERGENCY DEPARTMENT
DES MOINES, IA 50314

Polk County (515) 247-3211

DR. CODY BRUNCLIK DO

Internal Medicine

1111 6TH AVE
DES MOINES, IA 50314

Polk County (515) 643-2261

TYLER MUMM DO

Internal Medicine

1111 6TH AVE
DES MOINES, IA 50314

Polk County (515) 643-2261

DR. MITCHELL R. ERICKSON M.D.

Radiology (Neuroradiology)

1111 6TH AVE
DES MOINES, IA 50314

Polk County (515) 643-2667

DR. THERESA MARIE WAHLIG M.D.

Pediatrics (Neonatal-Perinatal Medicine)

1111 6TH AVE
DES MOINES, IA 50314

Polk County (515) 643-8409

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 Mohammad Sallam's NPI number?

The NPI number for Mohammad Sallam is 1679120174. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Where is Mohammad Sallam located?

Mohammad Sallam practices at 1111 6th Ave, Des Moines, IA 50314. The listed phone number is (515) 247-3330.

What is Mohammad Sallam's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Mohammad Sallam enrolled in Medicare?

Yes. Mohammad Sallam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mohammad Sallam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Sallam reassigns Medicare benefits to Mercy Clinics, Inc (Des Moines, IA). 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 Mohammad Sallam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohammad Sallam accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Mohammad Sallam 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.

When was this NPI record last updated?

The NPPES record for Mohammad Sallam was last updated on July 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.