NPIMap

Individual provider Active NPI

Manav K Salwan, MD

  • Internal Medicine Physician
  • Sycamore, IL
National Provider Identifier
1457424301
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-116971 Issued in IL
Practice address
2540 Hauser Ross Dr
Suite 275
Sycamore, IL 60178-3148
Phone
(815) 758-4189
Fax
(815) 758-4953
NPI assigned
Nov 16, 2006
Last updated
Mar 27, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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 036-116971 IL Primary

Addresses

Primary practice location

2540 Hauser Ross Dr
Suite 275
Sycamore, IL 60178-3148

Mailing address

2540 Hauser Ross Dr
Suite 275
Sycamore, IL 60178-3178
Phone (815) 758-4189

Other identifiers 1

IdentifierTypeStateIssuer
036116971MedicaidIL

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
I20070112000417 IL Practitioner - Internal Medicine 6305846429 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Salwan Consulting LLCGroup PAC ID 4486056140, 2 clinicians
Manav K Salwan MD SCGroup PAC ID 4183795545, 2 clinicians

Practice addresses (Care Compare)

2371 Bowes Rd
Suite 100
Elgin, IL 60123-5543
Phone (847) 232-3570

2540 Hauser Ross Dr
Suite 275
Sycamore, IL 60178-3178
Phone (815) 754-4900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-116971ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salwan Consulting LLC Internal Medicine CurrentSince Apr 6, 2021 Accepting new patients
Manav K. Salwan MD SC Internal Medicine CurrentSince May 1, 2008 Accepting new patients
Sycamore Medical Associates LLC Internal Medicine CurrentSince Oct 15, 2016 Accepting new patients

Locations

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

2371 Bowes Rd
Ste 100
Elgin, IL 60123
Phone (847) 531-5911

2540 Hauser Ross Dr
Ste 275
Sycamore, IL 60178
Phone (815) 754-4900

2560 Hauser Ross Dr
Ste 450
Sycamore, IL 60178
Phone (815) 748-0315

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHHBCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EHHBCA/Endpoint/EHHBCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FABCDA

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Aperion Care DekalbDekalb, IL, CCN 145261 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2021
Oct 1, 2021

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 3

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1457424301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 HAUSER ROSS DR",
            "address_2": "SUITE 275",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783178",
            "telephone_number": "815-758-4189",
            "fax_number": "815-758-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 HAUSER ROSS DR",
            "address_2": "SUITE 275",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783148",
            "telephone_number": "815-758-4189",
            "fax_number": "815-758-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALWAN",
        "first_name": "MANAV",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-116971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036116971",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.