NPIMap

Individual provider Active NPI

Ely Jean Salon, MD

  • Internal Medicine Physician
  • Beckley, WV
National Provider Identifier
1396766051
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18381 Issued in WV
Practice address
200 Raleigh Ave
Beckley, WV 25801-5989
Phone
(304) 252-8541
Fax
(304) 253-2507
NPI assigned
Jul 21, 2006
Last updated
Oct 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18381 WV Primary

Addresses

Primary practice location

200 Raleigh Ave
Beckley, WV 25801-5989

Mailing address

252 Rural Acres Dr
Beckley, WV 25801-3503
Phone (304) 252-8324

Other identifiers 3

IdentifierTypeStateIssuer
001722335OtherWVBLUE CROSS BLUE SHIELD
0079492000MedicaidWV
2032422OtherWVMEDICATE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20080610000032 WV Practitioner - Internal Medicine 4688744196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Systems IncGroup PAC ID 6608785795, 36 clinicians

Practice addresses (Care Compare)

252 Rural Acres Dr
Beckley, WV 25801-3503

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.54 of 100Reported as group
Quality
92.57
Promoting interoperability
100
Improvement activities
40
Cost
69.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18381WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems Inc CurrentSince Aug 1, 2009 Accepting new patients
Community Health Systems, Inc. CurrentSince Aug 1, 2009 Accepting new patients
Raleigh General Hospital LLC Past Accepting new patients

Locations

200 Raleigh Ave
Beckley, WV 25801
Phone (304) 252-8541

252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551

Interoperability endpoints

  • Direct secure messaging: ely.salon@wvafn.hcadirect.net
  • Direct secure messaging: elyjean.salon.1@14333.direct.athenahealth.com

Organizations & group practices 4

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1396766051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 RURAL ACRES DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013503",
            "telephone_number": "304-252-8324",
            "fax_number": "304-252-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RALEIGH AVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258015989",
            "telephone_number": "304-252-8541",
            "fax_number": "304-253-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALON",
        "first_name": "ELY",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "18381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001722335",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079492000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICATE PTAN",
            "identifier": "2032422",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.