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SALEM MEDICAL OFFICE PC
NPI 1912199613
Specialist in Flushing, NY

Active since August 16, 2007
15615 35TH AVE, FLUSHING, NY 11354(718) 463-6134 Get Directions Write a Review

NPPES record last updated: August 16, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Salem Medical Office Pc NPPES

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

SALEM MEDICAL OFFICE PC (NPI 1912199613) is a healthcare organization registered as a specialist in Flushing, New York and active in the NPI registry since August 2007. The organization lists Chung Ki Ha, President, as its authorized official.

NPPES Registry Identity

NPI1912199613
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSALEM MEDICAL OFFICE PC
Location Address15615 35TH AVEFlushing, NY 11354-5015
Mailing Address15615 35th AveFlushing, NY 11354-5015 · (718) 463-6134
Phone(718) 463-6134
Organization SubpartNo
Authorized OfficialChung Ki HaPresident · (718) 463-6134
Enumeration DateAugust 16, 2007
✔ NPI 1912199613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 190445-1
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.
15615 35TH AVE, Flushing, NY 11354
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Other Identifiers 2

Medicare UPING26704NY
Medicaid01727724NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Salem Medical Office Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20110627000274Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Salem Medical Office PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chung Ha, MD
Gastroenterology
NPI 1871653782
15615 35TH AVE
Flushing, NY 11354
(718) 463-6134
✔ PECOS✔ Accepts MedicareSame address

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 Salem Medical Office PC's NPI number?

The NPI number for Salem Medical Office PC is 1912199613. It was assigned to this organization in the NPPES registry on August 16, 2007.

Where is Salem Medical Office PC located?

Salem Medical Office PC is located at 15615 35th Ave, Flushing, NY 11354. The listed phone number is (718) 463-6134.

What is Salem Medical Office PC's specialty?

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

Is Salem Medical Office PC enrolled in Medicare?

Yes. Salem Medical Office PC is registered in the Medicare PECOS enrollment system.

When is Salem Medical Office PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Salem Medical Office PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Salem Medical Office PC. 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 Salem Medical Office PC was last updated on August 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.