Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mariam Bukky Salisu, MD

Individual provider Neurological Surgery Physician · NPI 1821484213

Mariam Bukky Salisu, MD is a Pain Management in Williamsport, Pennsylvania. Qualified in 2015, 11 years ago. Practices with Susquehanna Physician Services, a 612-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and Pennsylvania.

Years since qualifying
11
Licensed in
NJ, PA
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 Grampian Blvd
Williamsport, PA 17701-1900
Phone: (570) 326-8457
Fax: (570) 326-7989
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence MD471881 (PA)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 25MA11723900 (NJ)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 25MA11723900 (NJ)

Record details

NPI number1821484213
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 13, 2015
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025
Mailing address1201 Grampian Blvd, Williamsport, PA 17701-1900

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Susquehanna Physician Services — 612 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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