Sally Salazar

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209.026133 Issued in IL

Practice address

1497 Somerfield Dr
Bolingbrook, IL 60490-3207

Phone

(630) 506-2068

NPI assigned

Nov 4, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiac Vision LLCGroup PAC ID 6800192519, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

66.51 of 100Reported as group

Quality

10

Improvement activities

40

Cost

75.05

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cardiac Vision LLC

  • Cardiovascular Disease Physician
  • Chicago, IL
  • NPI 1275990707
  Medicare reassignment Care Compare group NPD
• Yusuf Salah LLC

  dba Partners in Hope LLC

  • Family Nurse Practitioner
  • Palos Heights, IL
  • NPI 1982254850
  Medicare reassignment NPD
• Midwest Home Physicians Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1760086540

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1417664707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 SOMERFIELD DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604903207",
            "telephone_number": "630-506-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 SOMERFIELD DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604903207",
            "telephone_number": "630-506-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "SALLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209.026133",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.026133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Saclolo
• Moazzam Saeed, M.D.
• Sage House Counseling and Consulting
• Fatima Saifuddin, M.D
• Sarah Sajewski, PT, DPT
• Khizra Saleem, LSW
• Scott M Sallin, PT
• Varsha Sambare, M.D.
• Nooshin Sanaei, DMD
• Paulina Sanchez-Santillan, MS CCC-SLP/L

• Adult Health Nurse Practitioner in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.