Organization Active NPI

Hector L. Salcedo M.D. S.C.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1013254341
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036128912 Issued in IL
Legal business name
HECTOR L. SALCEDO M.D. S.C.
Practice address
3132 W North Ave
Chicago, IL 60647-8415
Phone
(773) 227-3132
Fax
(773) 227-3309
NPI assigned
Jan 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Dr. Hector L Salcedo, M.D.NPI 1952530073
Title
Family Practitioner
Phone
(773) 227-3132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036128912 IL Primary

Addresses

Primary practice location

3132 W North Ave
Chicago, IL 60647-8415

Mailing address

4455 Madison St
Skokie, IL 60076-2628
Phone (773) 227-3132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130122000245 IL Part B Supplier - Clinic/Group Practice 6507019775 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2051419Hector L Salcedo M D S C3132 W North Ave, Chicago, IL 60647Provider-performed microscopyDec 17, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5653/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1013254341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 MADISON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762628",
            "telephone_number": "773-227-3132",
            "fax_number": "773-227-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3132 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606478415",
            "telephone_number": "773-227-3132",
            "fax_number": "773-227-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HECTOR L. SALCEDO M.D. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "SALCEDO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FAMILY PRACTITIONER",
        "authorized_official_telephone_number": "773-227-3132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036128912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.