Gabriel Ellis Salloum, MD

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

ME81572 Issued in FL

Practice address

4308 Alton Rd
Ste 940
Miami Beach, FL 33140-4560

Phone

(305) 405-6910

Fax

(305) 405-6912

NPI assigned

Apr 20, 2006

Last updated

Jun 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Plastic and Reconstructive SurgeryAlso: General Surgery, Hand Surgery

Education

Louisiana State University School of Medicine in New Orleans, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034
• Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
• Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
• HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Miami Beach Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Miami Beach, FL
  • NPI 1578188983
  NPD Authorized official
• Gabriel E Salloum MD PA

  • Legal Medicine
  • Miami, FL
  • NPI 1548306178
  Medicare reassignment
• Pinnacle South Florida LLC

  • Plastic Surgery Physician
  • Miami Beach, FL
  • NPI 1841125945
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Miami Beach Healthcare Group, LTD.

  dba HCA Florida Aventura Hospital

  • General Acute Care Hospital
  • Aventura, FL
  • NPI 1407801673
  Care Compare affiliation
• Mount Sinai Medical Center of Florida, Inc

  • General Acute Care Hospital
  • Miami Beach, FL
  • NPI 1912964768
  Care Compare affiliation
• South Broward Hospital District

  dba Memorial Hospital West

  • General Acute Care Hospital
  • Pembroke Pines, FL
  • NPI 1134102080
  Care Compare affiliation
• South Broward Hospital District

  dba Memorial Regional Hospital

  • General Acute Care Hospital
  • Hollywood, FL
  • NPI 1780667923
  Care Compare affiliation

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1225094188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD STE 720",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331404557",
            "telephone_number": "305-405-6910",
            "fax_number": "305-405-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD",
            "address_2": "STE 940",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404560",
            "telephone_number": "305-405-6910",
            "fax_number": "305-405-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLOUM",
        "first_name": "GABRIEL",
        "middle_name": "ELLIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME81572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talia Saka, PA-C
• Cintia Mayumi Sakurai Kimura, MD PHD
• Maria Jimena Salas, M.D.
• Krizia Salinas, LMHC
• Silvia Salinas, AP
• Ivy Salom, M.D.
• Paula Weintraub Saltzman, LCSW
• Saltzman, Tanis, Pittell, Levin and Jacobson, LLC (Pediatric Associates)
• Salud Pack Inc
• Samoho Healthcare South Beach LLC (Medigo)

• Legal Medicine in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Legal Medicine in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.