Individual provider Active NPI

Richard Sami Salloum, RN

  • Gerontology Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1033917448
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRNCNP0039764 Issued in OH
Practice address
314 Agler Rd
Columbus, OH 43230-2546
Phone
(614) 284-4114
NPI assigned
Mar 4, 2025
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRNCNP0039764 OH Primary

Addresses

Primary practice location

314 Agler Rd
Columbus, OH 43230-2546

Mailing address

1577 Neil Ave
Columbus, OH 43201-2320
Phone (614) 292-4041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251007000575 OH Practitioner - Nurse Practitioner 5799282976 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio State University College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
At Your Door Visiting Healthcare Services LLCGroup PAC ID 0042522344, 37 clinicians

Practice addresses (Care Compare)

314 Agler Rd
Columbus, OH 43230-2546
Phone (614) 284-4114

4175 Stoneridge LN
Dublin, OH 43017-2080
Phone (614) 284-4114

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRNCNP0039764OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ayd - Value Based Services LLC CurrentSince Dec 1, 2025 Accepting new patients
Provider Partners Care Management LP CurrentSince Oct 1, 2025 Accepting new patients
Health First Medical Center CurrentSince Aug 10, 2025 Accepting new patients
At Your Door Visiting Healthcare Services, LLC CurrentSince Jul 30, 2025 Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 701-2379

2245 N Bank Dr
Columbus, OH 43220
Phone (614) 233-2142

1302 Millville Ave
Hamilton, OH 45013
Phone (513) 867-4100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26301/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1033917448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 NEIL AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012320",
            "telephone_number": "614-292-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 AGLER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432302546",
            "telephone_number": "614-284-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLOUM",
        "first_name": "RICHARD",
        "middle_name": "SAMI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRNCNP0039764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.