Carrie Salvia, D.O.
Individual provider Active NPI Family Medicine Physician · Hometown, IL
NPI 1144675596 · NPPES record last updated May 3, 2016
Key facts
- NPI
- 1144675596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 125068092 (IL)
- Practice address
- 4140 Southwest Hwy
Hometown, IL 60456-1135 - Phone
- (708) 422-5700
- Fax
- (708) 422-8225
- NPI assigned
- May 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Jupiter Medical Center Physicians Group Inc
Practice addresses (Care Compare)
1000 E Indiantown Rd
Jupiter, FL 33477-5111
Phone (561) 741-5566
Hospital & facility affiliations
- Enhabit Home Health of Jupiter Medical Center
- Jupiter Medical Center
- Cleveland Clinic Martin North Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190719001841 | IL | Practitioner - Family Practice | 3173813508 | Reassigns benefits to 2 organizations |
| I20230831004088 | FL | Practitioner - Family Practice | 3173813508 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125068092 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Avenue Immediate Care | Family Medicine | Current |
Accepting new patients |
| Michigan Avenue ENT P.C. | Current | Accepting new patients | |
| Jupiter Medical Center Physicians Group Inc | Current | Accepting new patients | |
| Jupiter Medical Center Physicians Group | Current |
Accepting new patients | |
| Michigan Avenue Primary Care, S.C. | Family Medicine | Current |
Accepting new patients |
| Jupiter Medical Center Physicians Group Inc | Current |
Accepting new patients |
Locations
1000 E Indiantown Rd
Jupiter, FL 33477
Phone (561) 741-5566
1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695
3401 Pga Blvd
Ste 320
West Palm Bch, FL 33410
Phone (561) 626-3385
180 N Michigan Ave
Ste 1605
Chicago, IL 60601
Phone (312) 201-1234
180 N Michigan Ave
Ste 1720
Chicago, IL 60601
Phone (312) 994-3000
Interoperability endpoints
- csalvia26807@jupitermedicalcenter.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125068092 | IL | Yes |
Addresses
Primary practice location
4140 Southwest Hwy
Hometown, IL 60456-1135
Mailing address
4140 Southwest Hwy
Hometown, IL 60456-1135
Phone (708) 422-5700
Other providers in Hometown, IL
- Amiel George Pappas
- Binitabahen A Patel
- David Michael Podrebarac
- Shauna Delacey Porter
- Roseate Dawn New Beginnings Incorporated
- Christopher Swartz
- Catherine V Taylor
- Vilchis Collaborative Behavioral Consulting LLC
- Walgreen Co
- Walgreen Co.
All providers in Hometown, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.