FADEMOS FAMILY PRACTICE
NPI 1801138896
Clinic/Center - Primary Care in Philadelphia, PA
About Fademos Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FADEMOS FAMILY PRACTICE (NPI 1801138896) is a healthcare organization registered as a primary care in Philadelphia, Pennsylvania and active in the NPI registry since March 2013. The organization lists Mariam Salahou, Ceo/clinical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fademos Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Fademos Family Practice, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Fademos Family Practice's NPI number?
The NPI number for Fademos Family Practice is 1801138896. It was assigned to this organization in the NPPES registry on March 18, 2013.
Where is Fademos Family Practice located?
Fademos Family Practice is located at 16 Old Ashton Rd Ste 1, Philadelphia, PA 19152. The listed phone number is (215) 613-5069.
What is Fademos Family Practice's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Fademos Family Practice enrolled in Medicare?
Yes. Fademos Family Practice is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fademos Family Practice?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Fademos Family Practice. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fademos Family Practice was last updated on March 18, 2013. 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.
# Fademos Family Practice · NPI 1801138896
Primary Care organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since March 18, 2013.
## Identity
- **NPI:** 1801138896 (Entity type: Organization)
- **Enumerated:** March 18, 2013
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Mariam Salahou, CEO/CLINICAL DIRECTOR
## Practice location
- **Address:** 16 OLD ASHTON RD STE 1, Philadelphia, PA 19152-1661
- **Phone:** (215) 613-5069 · **Fax:** (215) 613-6809
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 18, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1801138896) · Data from the CMS NPPES public registry.