NPIMap

Individual provider Active NPI

Victor Salloum, MD

  • Pulmonary Disease Physician
  • Wichita, KS
National Provider Identifier
1598715682
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
04-31828 Issued in KS
Practice address
3009 N. Cypress
Wichita, KS 67226-4003
Phone
(316) 440-1010
Fax
(316) 440-0802
NPI assigned
May 11, 2006
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 04-31828 KS
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0431828 KS
Pulmonary Disease Physician 207RP1001X 04-31828 KS Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 04-31828 KS
Sleep Medicine (Internal Medicine) Physician 207RS0012X 0431828 KS

Addresses

Primary practice location

3009 N. Cypress
Wichita, KS 67226-4003

Mailing address

3009 N. Cypress
Wichita, KS 67226-4003
Phone (316) 440-1010

Other practice location 1

8710 W 13th St N Ste 105
Wichita, KS 67212-6277
Phone (316) 440-1010

Other identifiers 2

IdentifierTypeStateIssuer
200088530AMedicaidOK
200400340LMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060725000442 KS Practitioner - Pulmonary DiseasePractitioner - Sleep MedicinePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 7214940931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary and Sleep Consultants of Kansas LLCGroup PAC ID 2668640392, 7 clinicians

Practice addresses (Care Compare)

3009 N Cypress St
Wichita, KS 67226-4003
Phone (316) 440-1010

9300 E 29TH St N
Suite 330
Wichita, KS 67226-2180
Phone (316) 928-8730

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.08 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
66.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-31828KSMDCritical Care Medicine (Internal Medicine) Physician
0431828KSMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary and Sleep Consultants of Kansas, LLC Critical Care Medicine CurrentSince Aug 1, 2011 Accepting new patients
Pulmonary and Sleep Consultants of Kansas, LLC Critical Care Medicine Past Accepting new patients
Preferred Medical Associates Past Accepting new patients
Via Christi Hospitals Wichita, Inc Past Accepting new patients
Preferred Medical Associates Pulmonary Disease Past Accepting new patients

Locations

3009 N Cypress St
Wichita, KS 67226
Phone (316) 261-3111

8710 W 13th St N
Ste 105
Wichita, KS 67212
Phone (316) 440-1010

9300 E 29th St N
Ste 330
Wichita, KS 67226
Phone (316) 928-8730

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15693/brand/1/csg/1/fhir/r4
  • Direct secure messaging: victor.salloum.1@15693.direct.athenahealth.com
  • Direct secure messaging: victor.salloum@khindirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1598715682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 N. CYPRESS",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264003",
            "telephone_number": "316-440-1010",
            "fax_number": "316-440-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N. CYPRESS",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264003",
            "telephone_number": "316-440-1010",
            "fax_number": "316-440-0802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8710 W 13th St N Ste 105",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672126277",
            "country_code": "US",
            "telephone_number": "316-440-1010",
            "fax_number": "316-440-0802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALLOUM",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KS",
            "license": "04-31828",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KS",
            "license": "0431828",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KS",
            "license": "04-31828",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "KS",
            "license": "04-31828",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "KS",
            "license": "0431828",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200088530A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200400340L",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.