NPIMap

Individual provider Active NPI

Sally J Salmons, MD

  • Family Medicine Physician
  • Tuscola, IL
National Provider Identifier
1295834901
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036108100 Issued in IL
Practice address
301 E. Southline Road
Tuscola, IL 61953
Phone
(217) 253-5231
Fax
(217) 253-4082
NPI assigned
Sep 21, 2006
Last updated
May 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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 036108100 IL Primary

Addresses

Primary practice location

301 E. Southline Road
Tuscola, IL 61953

Mailing address

611 W. Park St.
BWPC
Urbana, IL 61801-2500
Phone (217) 383-6792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040217000814 IL Practitioner - Family Practice 4789579996 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Illinois Medical College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

611 W Park St
Urbana, IL 61801-2500

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

701 E Orange St
Hoopeston, IL 60942-1801
Phone (217) 283-5531

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hoopeston Community Memorial Hospital Family Medicine CurrentSince Dec 1, 2014 Accepting new patients
Richland Memorial Hospital, Inc. CurrentSince Apr 27, 2021 Accepting new patients
Carle Health Medical Group Family Medicine CurrentSince Apr 1, 2010 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Dec 1, 2014 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Apr 27, 2021 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

837 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5530

363 N West St
Olney, IL 62450
Phone (618) 392-9400

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

301 E Southline Rd
Tuscola, IL 61953
Phone (217) 253-3426

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

810 W Anthony Dr
Urbana, IL 61802
Phone (217) 326-2911

Interoperability endpoints

  • Direct secure messaging: cspringer1@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carle Hoopeston Regional Health CenterHoopeston, IL, CCN 141316 Hospital Corporate Director Jan 26, 2017
Carle Hoopeston Regional Health CenterHoopeston, IL, CCN 14Z316 Hospital Corporate Director Jan 26, 2017
Carle Cissna ParkCissna Park, IL, CCN 143485 Rural health clinic Corporate Director Jan 26, 2017
Carle RossvilleRossville, IL, CCN 143496 Rural health clinic Corporate Director Jan 26, 2017
Charlotte Ann Russell Medical CenterHoopeston, IL, CCN 143448 Rural health clinic Corporate Director Jan 26, 2017
Carle WatsekaWatseka, IL, CCN 148521 Rural health clinic Corporate Director Jan 26, 2017
Carle MilfordMilford, IL, CCN 148526 Rural health clinic Corporate Director Jan 26, 2017
Carle Danville ClinicDanvlle, IL, CCN 148531 Rural health clinic Corporate Director Jan 26, 2017
Carle TuscolaTuscola, IL, CCN 148533 Rural health clinic Corporate Director Jan 26, 2017
Carle Mattoon on HurstMattoon, IL, CCN 148544 Rural health clinic Corporate Director Jan 26, 2017

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 5

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1295834901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W. PARK ST.",
            "address_2": "BWPC",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500",
            "telephone_number": "217-383-6792",
            "fax_number": "217-383-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E. SOUTHLINE ROAD",
            "city": "TUSCOLA",
            "state": "IL",
            "postal_code": "61953",
            "telephone_number": "217-253-5231",
            "fax_number": "217-253-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMONS",
        "first_name": "SALLY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036108100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscola, IL

Sources for this page

Verify at the official NPI Registry.