DR. SALAAM SALLAAM (M.D) – Pediatric Cardiology Physician, NPI 1417187683
Pediatric Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,204 PEDIATRIC MEDICINE in MI
Provider Addresses for DR. SALAAM SALLAAM (M.D)
3901 Beaubien St
Detroit, MI 482012119
Phone: (313) 745-5427
Type: Location
900 Stevens Dr Ste 204
Richland, WA 993523536
Phone: (509) 946-5361
Type: Location
Seattle Children's Hospital, 4800, Sand Point Way Northeast, Laurelhurst, Seattle, King County, Washington, 98105, United States
SEATTLE, WA 98105
Phone: (206) 987-2000
Type: Location
Beaubien Street, North End, New Center, Detroit, Wayne County, Michigan, 48202, United States
DETROIT, MI 482012152
Phone: (773) 968-3726
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-10-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151007003268 | I | Pediatric Medicine | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WI | |
| Physician Assistant | WA | |
| - | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| Hematology, Pathology | WA | |
| Nephrology, Pediatric Medicine | WA | |
| Physician Assistant | WA | |
| - | WA | |
| Nurse Practitioner | WA |
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