Active NPI
Melvin Boris Saltzman, D.O.
- Gastroenterology Physician
- Bridgeton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- R5B20
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Michigan State University College of Osteopathic Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Touchette Regional Hospital Inc | Current | 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
- msaltzman134849@direct.carenet.org
- melvin.saltzman.p1@direct.essehealth.nextgenshare.com
- 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.
-
- Emergency Medicine Physician
- Cahokia Heights, IL
- NPI 1922019926
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1104857994
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Cahokia Heights, IL
- NPI 1750992459
-
- Emergency Medicine Physician
- Cahokia Heights, IL
- NPI 1922019926
Hospital
-
- General Acute Care Hospital
- Cahokia Heights, IL
- NPI 1427111046
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.