Individual provider Active NPI

Leslie John Salloum, MD

  • Surgery Physician
  • Laurinburg, NC
National Provider Identifier
1578562849
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
200301519 Issued in NC
Practice address
500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone
(910) 277-9164
NPI assigned
Jul 19, 2005
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 200301519 NC Primary

Addresses

Primary practice location

500 Lauchwood Dr
Laurinburg, NC 28352-5501

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

410 S Jones St
Ste D
Pembroke, NC 28372-7261
Phone (910) 277-9164

Other practice location 2

205 Lauchwood Dr
Suite B
Laurinburg, NC 28352-4779
Phone (910) 277-4410

Other practice location 3

1007 Cheraw St
Bennettsville, SC 29512-2422
Phone (910) 277-9164

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network
Direct Messaging Address lsalloum296272@CarolinasHealthcareSystem.direct-ci.com Atrium Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20040622001568 NC Practitioner - General Surgery 6406831502 Reassigns benefits to 1 organization
I20220103001524 SC Practitioner - General Surgery 6406831502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scotland Regional Health NetworkGroup PAC ID 2365573185, shared by 2 NPIs, 67 clinicians

Practice addresses (Care Compare)

1007 Cheraw St
Bennettsville, SC 29512-2422
Phone (910) 277-9164

410 S Jones St
Suite D
Pembroke, NC 28372-7261
Phone (910) 277-9164

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 277-9164

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200301519NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Regional Health Network Surgery CurrentSince Dec 5, 2011 Accepting new patients
Scotland Regional Health Network Surgery CurrentSince Dec 5, 2011 Accepting new patients
Scotland Regional Health Network Current Accepting new patients
Scotland Regional Health Network Past Accepting new patients
Leslie John Salloum, MD, PA Surgery PastSince Oct 1, 2004 Accepting new patients
Scotland Regional Health Network Past Accepting new patients
Harris Family Practice PLLC Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

1600 Medical Dr
Laurinburg, NC 28352
Phone (910) 277-9164

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

1007 Cheraw St
Bennettsville, SC 29512
Phone (843) 479-8357

Interoperability endpoints

  • Direct secure messaging: lsalloum296272@carolinashealthcaresystem.direct-ci.com

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.

Hospital & facility affiliations 1

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1578562849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LAUCHWOOD DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525501",
            "telephone_number": "910-277-9164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 S Jones St",
            "address_2": "Ste D",
            "address_purpose": "LOCATION",
            "city": "Pembroke",
            "state": "NC",
            "postal_code": "283727261",
            "country_code": "US",
            "telephone_number": "910-277-9164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Lauchwood Dr",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Laurinburg",
            "state": "NC",
            "postal_code": "283524779",
            "country_code": "US",
            "telephone_number": "910-277-4410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 Cheraw St",
            "address_purpose": "LOCATION",
            "city": "Bennettsville",
            "state": "SC",
            "postal_code": "295122422",
            "country_code": "US",
            "telephone_number": "910-277-9164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALLOUM",
        "first_name": "LESLIE",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "200301519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsalloum296272@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "500 Lauchwood Dr",
            "city": "Laurinburg",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283525501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

Verify at the official NPI Registry.