NPIMap

Individual provider Active NPI

Edgar Ruben Salas, M.D.

  • Gastroenterology Physician
  • Danville, KY
National Provider Identifier
1265666770
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
45409 Issued in KY
Practice address
216 W Walnut St
Danville, KY 40422-1832
Phone
(859) 239-5860
Fax
(859) 239-5869
NPI assigned
May 12, 2009
Last updated
Apr 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 45409 KY
Gastroenterology Physician 207RG0100X 45409 KY Primary

Addresses

Primary practice location

216 W Walnut St
Danville, KY 40422-1832

Mailing address

216 W Walnut St
Danville, KY 40422-1832
Phone (859) 239-5860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131031000031 KY Practitioner - GastroenterologyPractitioner - Internal MedicinePractitioner - Hospitalist 7517192495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

216 W Walnut St
Suite a
Danville, KY 40422-1832
Phone (859) 239-5870

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.36 of 100Reported as group
Quality
64.78
Promoting interoperability
100
Improvement activities
40
Cost
67.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy97
Upper gastrointestinal (GI) endoscopy for acid reflux479
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45409KYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc CurrentSince May 20, 2019 Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince May 20, 2019 Accepting new patients
Kentucky Medical Services Foundation, Inc Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Ephraim McDowell Health Resource, Inc. Current Accepting new patients
Ephraim McDowell Health Resource, Inc Gastroenterology Past Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated Past Accepting new patients
University of Kentucky Internal Medicine Past Accepting new patients

Locations

1 Trillium Way
#5
Corbin, KY 40701
Phone (606) 451-2994

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

216 W Walnut St
Danville, KY 40422
Phone (859) 236-2314

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

800 Rose St
Rm MN649
Lexington, KY 40536

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

Organizations & group practices 7

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 11

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": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1265666770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W WALNUT ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221832",
            "telephone_number": "859-239-5860",
            "fax_number": "859-239-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W WALNUT ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221832",
            "telephone_number": "859-239-5860",
            "fax_number": "859-239-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS",
        "first_name": "EDGAR",
        "middle_name": "RUBEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "45409",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "45409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.