NPIMap

Individual provider Active NPI

Salvatore Chillemi, MD

  • Nephrology Physician
  • Marietta, GA
National Provider Identifier
1285839431
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
070064 Issued in GA
Practice address
880 Canton Rd NE
Suite 400
Marietta, GA 30060-7283
Phone
(770) 528-9788
NPI assigned
Jun 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD-15839 HI
Internal Medicine Physician 207R00000X MD-15839 HI
Nephrology Physician 207RN0300X 070064 GA Primary
Nephrology Physician 207RN0300X 25MA08786500 NJ

Addresses

Primary practice location

880 Canton Rd NE
Suite 400
Marietta, GA 30060-7283

Mailing address

880 Canton Rd NE
Suite 400
Marietta, GA 30060-7283
Phone (770) 528-9788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20130910000459 GA Practitioner - Nephrology 3870773468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Georgia Kidney Specialists, LLCGroup PAC ID 8921044660, 4 clinicians

Practice addresses (Care Compare)

880 Canton Rd NE
Suite 400
Marietta, GA 30060-7283
Phone (770) 528-9788

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-15839HIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Georgia Kidney Specialists, LLC Nephrology CurrentSince Oct 1, 2013 Accepting new patients

Locations

125 Oakside Ct
Ste 302
Canton, GA 30114
Phone (770) 528-9788

20 Collins Dr
Ste A
Cartersville, GA 30120
Phone (770) 528-9788

880 Canton Rd NE
Ste 400
Marietta, GA 30060
Phone (770) 528-9788

Interoperability endpoints

  • Direct secure messaging: salvatore.chillemi@direct.davitaphysiciansolutions.com

Organizations & group practices 1

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.

Hospital & facility affiliations 10

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1285839431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 CANTON RD NE",
            "address_2": "SUITE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607283",
            "telephone_number": "770-528-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 CANTON RD NE",
            "address_2": "SUITE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607283",
            "telephone_number": "770-528-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILLEMI",
        "first_name": "SALVATORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "HI",
            "license": "MD-15839",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-15839",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "070064",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA08786500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.