MARIAM BUKKY SALISU (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1821484213

MARIAM BUKKY SALISU (MD) is a healthcare provider. based in Williamsport, Pennsylvania. specializing in PAIN MANAGEMENT, ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 25MA11723900 (NJ). The NPI Number for MARIAM BUKKY SALISU (MD) is 1821484213

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MARIAM BUKKY SALISU (MD)
NPI
1821484213
Phone
(570) 326-8723
Address
1201 GRAMPIAN BLVD
Enumeration Date
13 April 2015
Last Update Date
7 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5703268457
Graduation Year
2015 (11 years ago)
PAC ID
7618226689
Group Practice PAC ID
2264336460
Professional Enrollment ID
I20241016004170
Address ID
PA177013722WI451XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:11State licenses:2Digital endpointsOther names

497 PAIN MANAGEMENT in PA

Provider Addresses for MARIAM BUKKY SALISU (MD)

  • 1201 GRAMPIAN BLVD

    WILLIAMSPORT, PA 177011900

    Phone: (570) 326-8723

    Fax: (570) 326-8922

    Type: Mailing

  • 1100 GRAMPIAN BLVD

    WILLIAMSPORT, PA 177011900

    Phone: (570) 326-8457

    Fax: (570) 326-7989

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 135 Open Payments records for all available years, with a total value of $1,390.

Total Amount is formed as General ($1,390) + Research ($0) + Ownership ($0) = $1,390.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Boston Scientific Corporation ($875).

Total Amount

$1,390

General + Research + Ownership

Payments

135

Total payment records

General Amount

$1,390

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201012002575IPain ManagementPATBD
I20241016004170IPain ManagementNJTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes370232$0
95886Needle measurement of electrical activity in arm or leg muscles, complete study16883$0
99204New patient office or other outpatient visit, 45-59 minutes148148$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg12219$0
27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance9271$0
View full utilization report →

Insurance plans in this area (ZIP 17701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264336460View full group profile
NameSpecialtyState
General Surgery, Critical Care (Intensivists)PA
-PA
Certified Registered Nurse Anesthetist (Crna)PA
-ME
Pulmonary Disease, Critical Care (Intensivists)PA
-PA
Vascular SurgeryNY
Cardiovascular Disease (Cardiology)NM
Certified Registered Nurse Anesthetist (Crna)PA
Emergency MedicinePA

Reviews

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Frequently asked questions

Does MARIAM BUKKY SALISU (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARIAM BUKKY SALISU (MD) uses 1821484213.
Can I rely on MARIAM BUKKY SALISU (MD) being an active provider?
As of the registry snapshot, MARIAM BUKKY SALISU (MD) is marked active.
What is MARIAM BUKKY SALISU (MD) best known for clinically?
Directory data describes MARIAM BUKKY SALISU (MD) with Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MARIAM BUKKY SALISU (MD)?
MARIAM BUKKY SALISU (MD)'s geographic hint is Williamsport, Pennsylvania in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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