Individual provider Active NPI

Carrie Salvia, D.O.

  • Family Medicine Physician
  • Hometown, IL
National Provider Identifier
1144675596
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
125068092 Issued in IL
Practice address
4140 Southwest Hwy
Hometown, IL 60456-1135
Phone
(708) 422-5700
Fax
(708) 422-8225
NPI assigned
May 3, 2016
Last updated
May 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125068092 IL Primary

Addresses

Primary practice location

4140 Southwest Hwy
Hometown, IL 60456-1135

Mailing address

4140 Southwest Hwy
Hometown, IL 60456-1135
Phone (708) 422-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 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
I20190719001841 IL Practitioner - Family Practice 3173813508 Reassigns benefits to 2 organizations
I20230831004088 FL Practitioner - Family Practice 3173813508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

Practice addresses (Care Compare)

1000 E Indiantown Rd
Jupiter, FL 33477-5111
Phone (561) 741-5566

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125068092ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Avenue Primary Care, S.C. Family Medicine CurrentSince Jan 4, 2021 Accepting new patients
Michigan Avenue ENT P.C. Current Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Oct 15, 2023 Accepting new patients
Michigan Avenue Immediate Care Family Medicine CurrentSince Jan 4, 2021 Accepting new patients
Jupiter Medical Center Physicians Group Inc Current Accepting new patients
Jupiter Medical Center Physicians Group CurrentSince Oct 15, 2023 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

  • Direct secure messaging: csalvia26807@jupitermedicalcenter.direct-ci.com

Organizations & group practices 6

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 3

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": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1144675596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 SOUTHWEST HWY",
            "city": "HOMETOWN",
            "state": "IL",
            "postal_code": "604561135",
            "telephone_number": "708-422-5700",
            "fax_number": "708-422-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 SOUTHWEST HWY",
            "city": "HOMETOWN",
            "state": "IL",
            "postal_code": "604561135",
            "telephone_number": "708-422-5700",
            "fax_number": "708-422-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVIA",
        "first_name": "CARRIE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125068092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hometown, IL

Sources for this page

Verify at the official NPI Registry.