Individual provider Active NPI

Johnathan Salvi

  • Physician Assistant
  • Algonquin, IL
National Provider Identifier
1134874589
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085-008870 Issued in IL
Practice address
1106 N Main St
Algonquin, IL 60102-3482
Phone
(224) 333-0928
Fax
(224) 209-8685
NPI assigned
Feb 15, 2022
Last updated
Feb 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085-008870 IL Primary

Addresses

Primary practice location

1106 N Main St
Algonquin, IL 60102-3482

Mailing address

1106 N Main St
Algonquin, IL 60102-3482
Phone (224) 333-0928

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220415001189 IL Practitioner - Physician Assistant 7113313388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas G Salvi MD LLCGroup PAC ID 6103186382, 3 clinicians

Practice addresses (Care Compare)

1106 N Main St
Algonquin, IL 60102-3482
Phone (815) 353-2601

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.31 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
61.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085-008870ILMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: johnathan.salvi.1@17421.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1134874589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 N MAIN ST",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601023482",
            "telephone_number": "224-333-0928",
            "fax_number": "224-209-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N MAIN ST",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601023482",
            "telephone_number": "224-333-0928",
            "fax_number": "224-209-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVI",
        "first_name": "JOHNATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-008870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

Verify at the official NPI Registry.