Individual provider Active NPI

George Salloum, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • North Syracuse, NY
National Provider Identifier
1003107400
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
265873 Issued in NY
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

Updated by the provider on Mar 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190828002732 TN Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 1355687922 Reassigns benefits to 1 organization
I20210622002913 NY Practitioner - Ophthalmology 1355687922 Reassigns benefits to 3 organizations

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
Eye Plastic and Reconstructive Surgery of Cny PCGroup PAC ID 4486705852, 4 clinicians
Thrive Health Medical Services PCGroup PAC ID 6204335227, 2 clinicians
Ophthalmology Medical Service Group IncGroup PAC ID 0446248033, 30 clinicians

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 Hospital, Syracuse, NY, CCN 330241
  • Samaritan Medical Center Hospital, Watertown, NY, CCN 330157
  • Crouse Hospital Hospital, Syracuse, NY, CCN 330203
  • Auburn Community Hospital Hospital, Auburn, NY, CCN 330235
  • Wynn Hospital Hospital, Utica, NY, CCN 330044

Merit-based Incentive Payment System (MIPS)

Final score
90.64 of 100Reported as group
Quality
95.16
Promoting interoperability
100
Improvement activities
40
Cost
56.96

Merit-based Incentive Payment System (MIPS)

Final score
75.6 of 100Reported as individual
Quality
51.2
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision33
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
265873NYMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Plastic and Reconstructive Surgery of Cny PC Ophthalmology CurrentSince Jul 1, 2021 Accepting new patients
Wesley & Klippenstein, PC Ophthalmic Plastic and Reconstructive Surgery CurrentSince Jul 1, 2019 Accepting new patients
Wesley & Klippenstein, PC Current Accepting new patients
Ophthalmology Medical Service Group Inc Ophthalmology CurrentSince Jul 1, 2021 Accepting new patients
Thrive Health Medical Services PC CurrentSince Aug 4, 2025 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

  • Direct secure messaging: gsalloum@eyeplasticcny.emadirect.md
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.