Individual provider Active NPI

Mohamad Z Saltagi, MD

  • Otolaryngology Physician
  • Hershey, PA
National Provider Identifier
1487144143
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD481461 Issued in PA
Practice address
500 University Dr
Hershey, PA 17033-2360
Phone
(717) 531-6822
Fax
(717) 531-4907
NPI assigned
May 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 11019817A IN
Otolaryngology Physician 207Y00000X MD481461 PA Primary
Otolaryngology Physician 207Y00000X 01094240A IN

Addresses

Primary practice location

500 University Dr
Hershey, PA 17033-2360

Mailing address

PO Box 858 MC Ca410
Hershey, PA 17033-0858
Phone (717) 531-5814

Other practice location 1

1130 W Michigan St # Fh400
Indianapolis, IN 46202-5209
Phone (317) 278-1258

Other practice location 2

2920 S McIntire Dr Ste 350
Bloomington, IN 47403-4215
Phone (812) 353-3277

Other identifiers 1

IdentifierTypeStateIssuer
11019817AOtherININDIANA PROFESSIONAL LICENSING AGENCY - POSTGRADUATE TRAINING PERMIT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msaltagi@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230710000569 PA Practitioner - Otolaryngology 1850647223 Reassigns benefits to 1 organization
I20240724003481 IN Practitioner - Otolaryngology 1850647223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

2920 S McIntire Dr
Suite 350
Bloomington, IN 47403-4215
Phone (888) 484-3258

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision23
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01094240AINMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Sep 1, 2024 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Jul 1, 2023 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Otolaryngology CurrentSince Jul 1, 2023 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC Otolaryngology CurrentSince Sep 1, 2024 Accepting new patients

Locations

2920 S McIntire Dr
Ste 350
Bloomington, IN 47403
Phone (812) 332-2226

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1130 W Michigan St
#400
Indianapolis, IN 46202
Phone (317) 278-1258

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

500 University Dr
#A4
Hershey, PA 17033
Phone (717) 531-6261

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

Interoperability endpoints

  • Direct secure messaging: msaltagi@direct.iuhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1487144143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 858 MC CA410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170330858",
            "telephone_number": "717-531-5814",
            "fax_number": "717-531-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "717-531-6822",
            "fax_number": "717-531-4907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 W Michigan St # Fh400",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025209",
            "country_code": "US",
            "telephone_number": "317-278-1258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2920 S McIntire Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474034215",
            "country_code": "US",
            "telephone_number": "812-353-3277",
            "fax_number": "812-333-2433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALTAGI",
        "first_name": "MOHAMAD",
        "middle_name": "Z",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11019817A",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD481461",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01094240A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA PROFESSIONAL LICENSING AGENCY - POSTGRADUATE TRAINING PERMIT",
            "identifier": "11019817A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msaltagi@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2920 S McIntire Dr Ste 350",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474034215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.