Individual provider Active NPI

Eugene E. Saltzberg, M.D.

  • Emergency Medicine Physician
  • Highland Park, IL
National Provider Identifier
1215939798
Registry record updated Sep 21, 2018
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(7) exclusion effective May 11, 2023.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-048986 Issued in IL
Practice address
265 Ravine Drive
Highland Park, IL 60035
Phone
(847) 432-2856
Fax
(847) 780-4522
NPI assigned
Aug 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-048986 IL Primary

Addresses

Primary practice location

265 Ravine Drive
Highland Park, IL 60035

Mailing address

265 Ravine Drive
Highland Park, IL 60035
Phone (847) 432-2856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-048986ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Immediate Care LLC CurrentSince Jun 19, 2012 Accepting new patients
Central Dupage Physician Group PastSince Mar 21, 2016 Accepting new patients
Midway Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Northwestern Memorial Physicians Group Past Accepting new patients

Locations

1645 W School St
Ste A
Chicago, IL 60657
Phone (773) 227-3669

Organizations & group practices 4

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": "1123891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1215939798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 RAVINE DRIVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "60035",
            "telephone_number": "847-432-2856",
            "fax_number": "847-780-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 RAVINE DRIVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "60035",
            "telephone_number": "847-432-2856",
            "fax_number": "847-780-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTZBERG",
        "first_name": "EUGENE",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-13",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-048986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.