Individual provider Active NPI

Nooshig Luz Salvador, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Elmhurst, IL
National Provider Identifier
1144200502
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
036098152 Issued in IL
Practice address
172 E Schiller St
Elmhurst, IL 60126-2816
Phone
(830) 758-5903
Fax
(630) 758-5201
NPI assigned
Jan 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 036098152 IL Primary

Addresses

Primary practice location

172 E Schiller St
Elmhurst, IL 60126-2816

Mailing address

155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (331) 221-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nsalvador123322@direct.edward.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050328000665 IL Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 3870549322 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Health Ventures CurrentSince Oct 31, 2018 Accepting new patients
Edward Health Ventures CurrentSince Oct 31, 2018 Accepting new patients

Locations

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

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.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1144200502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E BRUSH HILL RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265658",
            "telephone_number": "331-221-1000",
            "fax_number": "331-221-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 E SCHILLER ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262816",
            "telephone_number": "830-758-5903",
            "fax_number": "630-758-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVADOR",
        "first_name": "NOOSHIG",
        "middle_name": "LUZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "IL",
            "license": "036098152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nsalvador123322@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "155 E Brush Hill Rd",
            "city": "Elmhurst",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601265658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.