Sean A Salehi, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

036102531 Issued in IL

Practice address

19110 Darvin Dr Ste C
Mokena, IL 60448-8683

Phone

(705) 343-3566

Fax

(708) 343-9235

NPI assigned

May 3, 2006

Last updated

Dec 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

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

Neurosurgery

Education

Temple University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Chicago Neurospine Surgery PLLCGroup PAC ID 3072906387, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ssalehi50968@direct.luhs.org

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.

• Chicago Neurospine Surgery PLLC

  • Neurological Surgery Physician
  • Mokena, IL
  • NPI 1033875125
  Medicare reassignment Care Compare group NPD
• Chicago Neurospine Surgry PLLC

  • Neurological Surgery Physician
  • Des Plaines, IL
  • NPI 1336805795
  NPD
• Loyola University Medical Center

  dba Foster G. McGaw Hospital

  • General Acute Care Hospital
  • Maywood, IL
  • NPI 1376521575
  NPD
• Gottlieb Community Health Services Corporation

  dba Macneal Acute Rehab

  • Rehabilitation Hospital Unit
  • Berwyn, IL
  • NPI 1871977751
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1326006842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WESTBROOK CORPORATE CTR",
            "address_2": "STE 1000",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545703",
            "telephone_number": "705-343-3566",
            "fax_number": "708-343-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19110 DARVIN DR STE C",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488683",
            "telephone_number": "705-343-3566",
            "fax_number": "708-343-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEHI",
        "first_name": "SEAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036102531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036102531",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00225354",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "5553530001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricardo Ruvalcaba, RSA
• Kathleen Ruzanski, DT
• Gregory Paul Ruzich Jr., MD
• Sailebrite Clinical Services PLLC
• Qamar Saleh, MSN, FNP-BC
• Samantha L Holder Dental Services LLC
• Deborah Sanchez
• Kevin Santos, SA
• Theresa M Sawyer, FNP-BC
• Carrie Scherbing, D.P.T.

• Neurological Surgery Physician in Mokena, IL
• Providers in Mokena, IL by specialty
• Neurological Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.