Active NPI
Nabil Saleh, M.D.
- Pediatrics Physician
- Melrose Park, IL
National Provider Identifier
1043205222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036058414
- Practice address
- 1111 Superior St
Ste 412
Melrose Park, IL 60160 - Phone
- (708) 450-0112
- Fax
- (708) 450-9038
- NPI assigned
- Sep 14, 2005
- Last updated
- Feb 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036058414 | IL | Primary |
Addresses
Primary practice location
1111 Superior St
Ste 412
Melrose Park, IL 60160
Mailing address
1419 W Lake St Ste D
Melrose Park, IL 60160-3930
Phone (708) 450-0112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036058414 | Medicaid | IL |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210309001514 | IL | Practitioner - Pediatric Medicine | 6103232640 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Current | Accepting new patients | |
| Nabil Saleh MD, LTD | Pediatrics | Current | Accepting new patients |
Locations
1419 W Lake St
Ste D
Melrose Park, IL 60160
Phone (708) 345-8255
Interoperability endpoints
- nsaleh50966@direct.luhs.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Melrose Park, IL
- NPI 1700476009
-
dba Foster G. McGaw Hospital
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1043205222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 W LAKE ST STE D",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601603930",
"telephone_number": "708-450-0112",
"fax_number": "708-450-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 SUPERIOR ST",
"address_2": "STE 412",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "60160",
"telephone_number": "708-450-0112",
"fax_number": "708-450-9038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEH",
"first_name": "NABIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2021-02-04",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036058414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036058414",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.