Individual provider Active NPI

Larry M Salberg, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Merrillville, IN
National Provider Identifier
1073666749
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
01025163 Issued in IN
Practice address
521 E 86TH Ave
Suite Z
Merrillville, IN 46410-6173
Phone
(219) 769-0777
Fax
(219) 755-0612
NPI assigned
Jan 18, 2007
Last updated
Feb 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 01025163 IN Primary

Addresses

Primary practice location

521 E 86TH Ave
Suite Z
Merrillville, IN 46410-6173

Mailing address

521 E 86TH Ave
Suite Z
Merrillville, IN 46410-6173
Phone (219) 769-0777

Other identifiers 1

IdentifierTypeStateIssuer
84102OtherANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 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
I20050421001472 IN Practitioner - NeurologyPractitioner - Sleep Medicine 3375438419 Reassigns benefits to 2 organizations
I20191031002485 IL Practitioner - NeurologyPractitioner - Sleep Medicine 3375438419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Indiana University School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rci (WRS) LLCGroup PAC ID 5092624510, shared by 17 NPIs, 325 clinicians

Practice addresses (Care Compare)

1300 Lincolnway
Valparaiso, IN 46383-5824

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.72 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.75

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
56.64
Promoting interoperability
73
Improvement activities
40
Cost
76.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01025163INMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Lota Healthcare LTD CurrentSince Jan 26, 2022 Accepting new patients
The Methodist Hospitals, Inc Current Accepting new patients
Centers for Neurological Diseases, PC CurrentSince Dec 1, 2020 Accepting new patients
Advanced Pain Centers LLC PastSince Jan 27, 1998 Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

9730 S Western Ave
Ste 700
Evergreen Pk, IL 60805
Phone (708) 425-1907

10260 191st St
Ste 100
Mokena, IL 60448
Phone (708) 425-1907

2269 W 25th Ave
Gary, IN 46404
Phone (219) 738-2081

200 E 80th Pl
Ste 2
Merrillville, IN 46410
Phone (219) 472-0379

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

521 E 86th Ave
Ste Z
Merrillville, IN 46410
Phone (219) 769-0777

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

8777 Broadway
Merrillville, IN 46410
Phone (219) 736-5151

Interoperability endpoints

  • Direct secure messaging: lsalberg@cnd.gwaydirect.com

Organizations & group practices 6

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 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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1073666749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E 86TH AVE",
            "address_2": "SUITE Z",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106173",
            "telephone_number": "219-769-0777",
            "fax_number": "219-755-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E 86TH AVE",
            "address_2": "SUITE Z",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106173",
            "telephone_number": "219-769-0777",
            "fax_number": "219-755-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALBERG",
        "first_name": "LARRY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "IN",
            "license": "01025163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "84102",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.