Individual provider Active NPI

Richard G Saloom, MD

  • Anesthesiology Physician
  • Lake Charles, LA
National Provider Identifier
1467418632
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0020032 Issued in AL
Practice address
1757 Imperial Blvd.
Lake Charles, LA 70605-5362
Phone
(337) 310-2832
NPI assigned
Apr 25, 2006
Last updated
Apr 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 13983 MS
Anesthesiology Physician 207L00000X 0020032 AL Primary
Anesthesiology Physician 207L00000X MD.016283 LA

Addresses

Primary practice location

1757 Imperial Blvd.
Lake Charles, LA 70605-5362

Mailing address

13523 Barrett Parkway Drive
Suite 104
Ballwin, MO 63021-3802
Phone (636) 938-6868

Other identifiers 3

IdentifierTypeStateIssuer
00127037MedicaidMS
201397813AOtherMSBLUE CROSS BLUE SHIELD
201397813AOtherMSBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20070327000325 AL Practitioner - Anesthesiology 4587556907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Louisiana State University School of Medicine in New Orleans, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Anesthesia Solutions LLCGroup PAC ID 6305263815, 17 clinicians

Practice addresses (Care Compare)

4800 48TH St
Valley, AL 36854-3666
Phone (334) 756-9180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20032ALMDPharmacist
16283LAMDPharmacist
0020032ALMDAnesthesiology Physician
MD.016283LAMDAnesthesiology Physician
13983MSMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Anesthesia Solutions, LLC Anesthesiology CurrentSince Oct 3, 2022 Accepting new patients
Southern Crescent Anesthesiology, PC Anesthesiology Past Accepting new patients
Surgical Anesthesia of Baton Rouge LLC Anesthesiology Past Accepting new patients
Surgical Anesthesia Services of California Anesthesiology Past Accepting new patients
San Miguel Hospital Corporation Past Accepting new patients
Delta Regional Anesthesiology Group Anesthesiology Past Accepting new patients
Delta Physician Practices Past Accepting new patients

Locations

4800 48th St
Valley, AL 36854
Phone (334) 756-1401

2421 Brookstone Centre Pkwy
Columbus, GA 31904

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1467418632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13523 BARRETT PARKWAY DRIVE",
            "address_2": "SUITE 104",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630213802",
            "telephone_number": "636-938-6868",
            "fax_number": "636-938-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 IMPERIAL BLVD.",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055362",
            "telephone_number": "337-310-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOOM",
        "first_name": "RICHARD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "13983",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "0020032",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "MD.016283",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00127037",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "201397813A",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "201397813A",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.