Active NPI
Atiyeh Salem, DPM
- Foot & Ankle Surgery Podiatrist
- Palos Heights, IL
National Provider Identifier
1477561553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016033399
- Practice address
- 7226 W College Dr
Palos Heights, IL 60463-1145 - Phone
- (708) 845-6565
- Fax
- (708) 448-9380
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016033399 | IL | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016003399 | IL |
Addresses
Primary practice location
7226 W College Dr
Palos Heights, IL 60463-1145
Mailing address
7226 W College Drive
Palos HTS, IL 60463-1145
Phone (708) 448-9300
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11801 Southest Hwy
Suite 4N
Palos Heights, IL 60463-1145
Phone (708) 448-9300
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 282 |
| Removal of nail tissue | 748 |
| Removal or shaving of skin growth | 97 |
| Skin biopsy | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016003399 | IL | MD | Foot & Ankle Surgery Podiatrist |
| 016033399 | IL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yasmin B. Khan, MD PA | Current | Accepting new patients | |
| Lake Mi Mobile Doctors P.C. | Past | Accepting new patients | |
| Medical and Foot Care Group | Foot & Ankle Surgery | Past | Accepting new patients |
| Foot and Ankle Inc | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
1080 W Campbell Rd
Ste 200
Richardson, TX 75080
Phone (972) 498-4510
Organizations & group practices 5
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.
-
- Podiatrist
- Palos Heights, IL
- NPI 1134846579
-
- Primary Podiatric Medicine Podiatrist
- Homer Glen, IL
- NPI 1679760821
Foot & Ankle Surgery
-
- Obstetrics & Gynecology Physician
- Richardson, TX
- NPI 1760777890
-
- Foot & Ankle Surgery Podiatrist
- Palos HTS, IL
- NPI 1114106457
-
- Geriatric Medicine (Internal Medicine) Physician
- Austin, TX
- NPI 1982962924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1477561553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7226 W COLLEGE DRIVE",
"city": "PALOS HTS",
"state": "IL",
"postal_code": "604631145",
"telephone_number": "708-448-9300",
"fax_number": "708-448-9380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7226 W COLLEGE DR",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631145",
"telephone_number": "708-845-6565",
"fax_number": "708-448-9380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEM",
"first_name": "ATIYEH",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016033399",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016003399",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.