Individual provider Active NPI

Atiyeh Salem, DPM

  • Foot & Ankle Surgery Podiatrist
  • Palos Heights, IL
National Provider Identifier
1477561553
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016033399 Issued in IL
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

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040305000065 IL Practitioner - Podiatry 4789571753 Reassigns benefits to 1 organization

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
Extremity Medical Care, IncGroup PAC ID 8224492988, 2 clinicians

Practice addresses (Care Compare)

11801 Southest Hwy
Suite 4N
Palos Heights, IL 60463-1145
Phone (708) 448-9300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue282
Removal of nail tissue748
Removal or shaving of skin growth97
Skin biopsy25

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
016003399ILMDFoot & Ankle Surgery Podiatrist
016033399ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Nov 29, 2007 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.

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

Verify at the official NPI Registry.