Active NPI
Salman Abdul Waheed, M.D.
- Hematology & Oncology Physician
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 0125058084
- Practice address
- 2614 W Jefferson St
Joliet, IL 60435-6433 - Phone
- (815) 725-1355
- Fax
- (815) 725-9861
- NPI assigned
- Jun 8, 2010
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 0125058084 | IL | Primary |
Addresses
Primary practice location
2614 W Jefferson St
Joliet, IL 60435-6433
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other practice location 1
2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036131969 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | swaheed120181@dulyhealthandcare.direct-ci.com |
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 |
|---|---|---|---|---|
| I20160809001698 | IL | Practitioner - Hematology/Oncology | 9335445410 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Rush Medical College of Rush University, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dupage Medical Group LTD
Practice addresses (Care Compare)
2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121
Hospital & facility affiliations
- Edward Hospital
- Advocate Good Samaritan Hospital
- Northwestern Medicine Central Dupage Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0125058084 | IL | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
220 Springfield Dr
Ste 320
Bloomingdale, IL 60108
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
2100 Glenwood Ave
Joliet, IL 60435
Phone (815) 999-3201
2614 W Jefferson St
Joliet, IL 60435
Phone (815) 725-1355
430 Warrenville Rd
Ste 300
Lisle, IL 60532
Phone (630) 364-7850
17495 La Grange Rd
Tinley Park, IL 60487
Phone (708) 226-7000
Interoperability endpoints
- swaheed120181@dulyhealthandcare.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
Hospital
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1104146505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2614 W JEFFERSON ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "604356433",
"telephone_number": "815-725-1355",
"fax_number": "815-725-9861"
}
],
"practiceLocations": [
{
"address_1": "2100 Glenwood Ave",
"address_purpose": "LOCATION",
"city": "Joliet",
"state": "IL",
"postal_code": "604355487",
"country_code": "US",
"telephone_number": "815-725-2121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAHEED",
"first_name": "SALMAN",
"middle_name": "ABDUL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-08",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": "0125058084",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036131969",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "swaheed120181@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "2100 Glenwood Ave",
"city": "Joliet",
"state": "IL",
"country_code": "US",
"postal_code": "604355487",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.