Active NPI
George Salloum, MD
- Ophthalmic Plastic and Reconstructive Surgery Physician
- North Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- 265873
- Practice address
- 3400 Vickery Rd Ste a
North Syracuse, NY 13212-4530 - Phone
- (315) 422-3937
- NPI assigned
- Apr 20, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 265873 | NY | |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 265873 | NY | Primary |
Addresses
Primary practice location
3400 Vickery Rd Ste a
North Syracuse, NY 13212-4530
Mailing address
PO Box 2003
East Syracuse, NY 13057-4503
Phone (154) 463-9043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Wright State University Boonshoft School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 Vickery Rd
Suite a
North Syracuse, NY 13212-4530
Phone (315) 422-3937
550 Harrison St L
Syracuse, NY 13202-3188
Phone (315) 464-5230
Hospital & facility affiliations
- University Hospital S U N Y Health Science Center
- Samaritan Medical Center
- Crouse Hospital
- Auburn Community Hospital
- Wynn Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.64 of 100
- Quality
- 95.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 56.96
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.6 of 100
- Quality
- 51.2
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 33 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 265873 | NY | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Plastic and Reconstructive Surgery of Cny PC | Ophthalmology | Current | Accepting new patients |
| Wesley & Klippenstein, PC | Ophthalmic Plastic and Reconstructive Surgery | Current | Accepting new patients |
| Wesley & Klippenstein, PC | Current | Accepting new patients | |
| Ophthalmology Medical Service Group Inc | Ophthalmology | Current | Accepting new patients |
| Thrive Health Medical Services PC | Current | Accepting new patients |
Locations
610 French Rd
New Hartford, NY 13413
Phone (315) 736-1662
3400 Vickery Rd
Ste A
Syracuse, NY 13212
Phone (315) 422-3937
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
19472 US Route 11
Ste N101
Watertown, NY 13601
Phone (315) 422-3937
20053 Summit View Blvd
Ste 1
Watertown, NY 13601
Phone (315) 755-2560
1800 Church St
Ste 100
Nashville, TN 37203
Phone (615) 329-3624
Interoperability endpoints
- gsalloum@eyeplasticcny.emadirect.md
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- gsalloum56831@direct.upstate.edu
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- North Syracuse, NY
- NPI 1548351935
Ophthalmology
-
- Ophthalmology Physician
- Syracuse, NY
- NPI 1225072051
-
- Multi-Specialty Clinic/Center
- North Syracuse, NY
- NPI 1144044496
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Nashville, TN
- NPI 1023025475
-
- Ambulatory Surgical Clinic/Center
- Nashville, TN
- NPI 1679521389
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- General Acute Care Hospital
- Utica, NY
- NPI 1205877172
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1003107400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2003",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130574503",
"telephone_number": "154-463-9043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 VICKERY RD STE A",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132124530",
"telephone_number": "315-422-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALLOUM",
"first_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-20",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "265873",
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "NY",
"license": "265873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.