Individual provider Active NPI

Melvin Boris Saltzman, D.O.

  • Gastroenterology Physician
  • Bridgeton, MO
National Provider Identifier
1124025416
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
R5B20 Issued in MO
Practice address
12277 De Paul Dr
Ste 404
Bridgeton, MO 63044-2536
Phone
(314) 770-1000
Fax
(314) 770-2456
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X R5B20 MO Primary

Addresses

Primary practice location

12277 De Paul Dr
Ste 404
Bridgeton, MO 63044-2536

Mailing address

12277 De Paul Dr
Ste 404
Bridgeton, MO 63044-2536
Phone (314) 770-1000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181211000684 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 7719983667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Touchette Regional Hospital IncGroup PAC ID 7416843370, 46 clinicians

Practice addresses (Care Compare)

2071 Goose Lake Rd
Sauget, IL 62206-2822
Phone (618) 857-2700

5900 Bond Ave
Cahokia Heights, IL 62207-2326
Phone (618) 332-3060

Hospital & facility affiliations

  • Touchette Regional Hospital Inc Hospital, Centreville, IL, CCN 140077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Touchette Regional Hospital Inc CurrentSince Oct 27, 2018 Accepting new patients
Tenet Healthsystem Di, Inc. Past Accepting new patients

Locations

5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060

2071 Goose Lake Rd
Sauget, IL 62206
Phone (314) 872-1473

2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850

Interoperability endpoints

  • Direct secure messaging: msaltzman134849@direct.carenet.org
  • Direct secure messaging: melvin.saltzman.p1@direct.essehealth.nextgenshare.com
  • Direct secure messaging: melvin.saltzman.1@9559.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1124025416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12277 DE PAUL DR",
            "address_2": "STE 404",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442536",
            "telephone_number": "314-770-1000",
            "fax_number": "314-770-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12277 DE PAUL DR",
            "address_2": "STE 404",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442536",
            "telephone_number": "314-770-1000",
            "fax_number": "314-770-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTZMAN",
        "first_name": "MELVIN",
        "middle_name": "BORIS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "R5B20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.