Individual provider Active NPI

Ira Louis Salom, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1124027750
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
134798 Issued in NY
Practice address
979 Cross Bronx Expy
Bronx, NY 10460-4885
Phone
(718) 665-6490
Fax
(718) 764-6490
NPI assigned
Jul 15, 2005
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 134798 NY Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 134798 NY
Clinical Pharmacology Physician 208U00000X 134798 NY

Addresses

Primary practice location

979 Cross Bronx Expy
Bronx, NY 10460-4885

Mailing address

979 Cross Bronx Expy
Bronx, NY 10460-4885
Phone (718) 665-6490

Other identifiers 2

IdentifierTypeStateIssuer
134798OtherNYNY MEDICAL LICENSE
25MA08564600OtherNJNEW JERSEY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 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
I20100322000284 TX Practitioner - Internal Medicine 8527193192 Reassigns benefits to 1 organization
I20200224000125 NY Practitioner - Internal Medicine 8527193192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

177 Livingston St
Brooklyn, NY 11201-7000
Phone 71866575653018

335 E 24TH St
New York, NY 10010-4020
Phone (718) 665-7565

979 Cross Bronx Expy
Bronx, NY 10460-4885
Phone 71866575653018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
134798NYMDClinical Pharmacology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy Associations of New York State, Inc. Current Accepting new patients
14 Street Medical, PC Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Jan 4, 2016 Accepting new patients
Metro Community Health Centers, Inc. CurrentSince Jan 13, 2023 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Jan 4, 2016 Accepting new patients
Metro Community Health Centers, Inc. Current Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. Past Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. Past Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. Past Accepting new patients
United Cerebral Palsy Assoc of Nys Past Accepting new patients
United Cerebral Palsy Assoc of Nys Past Accepting new patients
United Cerebral Palsy Assoc of Nys Past Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. Past Accepting new patients
Queens Long Island Medical Group, P.C. Internal Medicine Past Accepting new patients
United Cerebral Palsy Assoc of Nys Past Accepting new patients

Locations

6 Road 7586
Bloomfield, NM 87413
Phone (505) 368-8015

979 Cross Bronx Expy
Bronx, NY 10460
Phone 71866575653009

335 E 24th St
Ste 1B
New York, NY 10010
Phone (212) 209-5102

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13555/brand/1/csg/1/fhir/r4
  • Direct secure messaging: isalom562983@nychhc.direct-ci.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1124027750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 CROSS BRONX EXPY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604885",
            "telephone_number": "718-665-6490",
            "fax_number": "718-764-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 CROSS BRONX EXPY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604885",
            "telephone_number": "718-665-6490",
            "fax_number": "718-764-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOM",
        "first_name": "IRA",
        "middle_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "134798",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "134798",
            "primary": false
        },
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "NY",
            "license": "134798",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY MEDICAL LICENSE",
            "identifier": "134798",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY LICENSE",
            "identifier": "25MA08564600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.