Active NPI
Sally Salman, MD
- Internal Medicine Physician
- Lisle, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036149724
- Practice address
- 430 Warrenville Rd Ste 210
Lisle, IL 60532-1348 - Phone
- (630) 432-6180
- NPI assigned
- Jun 17, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125.069407 | IL | |
| Internal Medicine Physician | 207R00000X | 036149724 | IL | Primary |
Addresses
Primary practice location
430 Warrenville Rd Ste 210
Lisle, IL 60532-1348
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036149724 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ssalman199439@direct.edward.org | ||
| Direct Messaging Address | ssalman199439@dulyhealthandcare.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
430 Warrenville Rd
Suite 210
Lisle, IL 60532-1348
Phone (630) 432-6180
Hospital & facility affiliations
- Silver Cross Home Health
- Silver Cross Hospital and Medical Centers
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036149724 | IL | MD | Internal Medicine Physician |
| 125.069407 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
430 Warrenville Rd
#210
Lisle, IL 60532
Phone (630) 432-6180
430 Warrenville Rd
Ste 210
Lisle, IL 60532
Phone (630) 432-6180
1206 E 9th St
Lockport, IL 60441
Phone (708) 406-3328
Networks
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- IL PPO Downstate
- IL HMO C-SNP
Interoperability endpoints
- ssalman199439@dulyhealthandcare.direct-ci.com
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- Home Health Agency
- New Lenox, IL
- NPI 1265558852
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1003266297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 WARRENVILLE RD STE 210",
"city": "LISLE",
"state": "IL",
"postal_code": "605321348",
"telephone_number": "630-432-6180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALMAN",
"first_name": "SALLY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-17",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125.069407",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036149724",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036149724",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssalman199439@direct.edward.org",
"affiliation": "N",
"address_1": "430 Warrenville Rd Ste 210",
"city": "Lisle",
"state": "IL",
"country_code": "US",
"postal_code": "605321348",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssalman199439@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "430 Warrenville Rd Ste 210",
"city": "Lisle",
"state": "IL",
"country_code": "US",
"postal_code": "605321348",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.