Individual provider Active NPI

Salvatore Desimone, DO

  • Ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1083618029
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0S007669L Issued in PA
Practice address
5001 Frankford Ave
Philadelphia, PA 19124-2619
Phone
(215) 288-5000
Fax
(215) 744-1233
NPI assigned
Jun 8, 2005
Last updated
Feb 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0S007669L PA Primary

Addresses

Primary practice location

5001 Frankford Ave
Philadelphia, PA 19124-2619

Mailing address

5001 Frankford Ave
Philadelphia, PA 19124-2619
Phone (215) 288-5000

Other identifiers 11

IdentifierTypeStateIssuer
0573185000OtherPAKEYSTONE EAST
990026OtherPAKEYSTONE HEALTH PLAN L
10871OtherPAHEALTHGUARD
576732OtherPAAETNA
001574534004MedicaidPA
180028017OtherPARAILROAD MEDICARE
730706OtherPABLUE SHEILD
730706OtherPAHIGHMARK BLUE SHIELD
7990026OtherPAGATEWAY
1040332OtherPAAMERIHEALTH
27541OtherPAHEALTH AMERICA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20060614000305 PA Practitioner - Ophthalmology 8527070440 Reassigns benefits to 2 organizations
I20080620000289 NJ Practitioner - Ophthalmology 8527070440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Philadelphia College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refocus Eye Health of PA PCGroup PAC ID 5092103309, 15 clinicians
Refocus Eye Health of NJ PCGroup PAC ID 2365830668, 46 clinicians

Practice addresses (Care Compare)

10160 Bustleton Ave
Suite F
Philadelphia, PA 19116-3749
Phone (215) 288-5000

3 Cooper PLZ
Camden, NJ 08103-1438
Phone 21528850001225

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.06 of 100Reported as group
Quality
92.68
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0S007669LPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Refocus Eye Health of NJ, P.C. Ophthalmology CurrentSince Nov 1, 2021 Accepting new patients
Refocus Eye Health of NJ, P.C. CurrentSince Nov 1, 2021 Accepting new patients
Refocus Eye Health of PA, P.C. Ophthalmology CurrentSince Nov 1, 2021 Accepting new patients
On Site Health Services PC PastSince May 16, 2016 Accepting new patients

Locations

3 Cooper Plz
Rm 510
Camden, NJ 08103
Phone (215) 288-5000

100 Brick Rd
Ste 115
Marlton, NJ 08053
Phone (856) 983-1400

829 Durham Rd
Penndel, PA 19047
Phone (215) 288-5000

10160 Bustleton Ave
Philadelphia, PA 19116
Phone (215) 827-8200

10160 Bustleton Ave
Ste F
Philadelphia, PA 19116
Phone (215) 288-5000

3110 Grant Ave
Philadelphia, PA 19114
Phone (215) 464-6600

5001 Frankford Ave
Philadelphia, PA 19124
Phone (215) 288-5000

Interoperability endpoints

  • Direct secure messaging: salvatore.desimone.2@642.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1083618029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242619",
            "telephone_number": "215-288-5000",
            "fax_number": "215-744-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242619",
            "telephone_number": "215-288-5000",
            "fax_number": "215-744-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIMONE",
        "first_name": "SALVATORE",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "0S007669L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE EAST",
            "identifier": "0573185000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN L",
            "identifier": "990026",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHGUARD",
            "identifier": "10871",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "576732",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001574534004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180028017",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD",
            "identifier": "730706",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "730706",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "7990026",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "1040332",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "27541",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.