Active NPI
Salvatore Desimone, DO
- Ophthalmology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0S007669L
- 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, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0573185000 | Other | PA | KEYSTONE EAST |
| 990026 | Other | PA | KEYSTONE HEALTH PLAN L |
| 10871 | Other | PA | HEALTHGUARD |
| 576732 | Other | PA | AETNA |
| 001574534004 | Medicaid | PA | |
| 180028017 | Other | PA | RAILROAD MEDICARE |
| 730706 | Other | PA | BLUE SHEILD |
| 730706 | Other | PA | HIGHMARK BLUE SHIELD |
| 7990026 | Other | PA | GATEWAY |
| 1040332 | Other | PA | AMERIHEALTH |
| 27541 | Other | PA | HEALTH AMERICA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.06 of 100
- Quality
- 92.68
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0S007669L | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Refocus Eye Health of NJ, P.C. | Ophthalmology | Current | Accepting new patients |
| Refocus Eye Health of NJ, P.C. | Current | Accepting new patients | |
| Refocus Eye Health of PA, P.C. | Ophthalmology | Current | Accepting new patients |
| On Site Health Services PC | Past | 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
- 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.
-
- Ophthalmology Physician
- Philadelphia, PA
- NPI 1962003418
-
- Ophthalmology Physician
- Camden, NJ
- NPI 1093316549
-
- Eyewear Supplier
- Oakland, NJ
- NPI 1912867052
-
- Optometrist
- Blue Bell, PA
- NPI 1720083553
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.
- 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.