George J Saliba, M.D.
Individual provider Active NPI Hospitalist Physician · Lafayette, IN
NPI 1740217686 · NPPES record last updated Sep 10, 2024
Key facts
- NPI
- 1740217686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 01064809A (IN)
- Practice address
- 1701 S Creasy LN
Lafayette, IN 47905-4972 - Phone
- (765) 502-4000
- Fax
- (765) 502-4709
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Putnam County Hospital
Franciscan Physician Network
Witham Memorial Hospital
Practice addresses (Care Compare)
1542 S Bloomington St
Greencastle, IN 46135-2212
1701 S Creasy LN
Lafayette, IN 47905-4972
Phone (765) 502-4000
2505 N Lebanon St
Lebanon, IN 46052-8613
Phone (765) 485-8830
2605 N Lebanon St
Lebanon, IN 46052-1476
Hospital & facility affiliations
- Amedisys Home Health
- Putnam County Hospital
- Franciscan Health Lafayette
- Witham Health Services
- Putnam County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080702000158 | IN | Practitioner - Hospitalist |
2062473531 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01064809A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current |
Accepting new patients | |
| Putnam County Hospital | Current | Accepting new patients | |
| Putnam County Hospital | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Internal Medicine | Current |
Accepting new patients |
| Hospitalist Physicians of Indiana, PC | Internal Medicine | Current |
Accepting new patients |
| Franciscan Physician Network | Current |
Accepting new patients | |
| Putnam County Hospital | Current |
Accepting new patients | |
| Putnam County Hospital | Current |
Accepting new patients | |
| Franciscan Physician Network | Internal Medicine | Current |
Accepting new patients |
| Putnam County Hospital | Current | Accepting new patients | |
| Consolidated Community Medical Centers, S.C. | Internal Medicine | Past |
Accepting new patients |
| Crawford Hospital District | Past |
Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
440 E Pat Rady Way
Bainbridge, IN 46105
Phone (765) 522-2556
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
1542 S Bloomington St
Ste 1100
Greencastle, IN 46135
Phone (765) 658-2700
1542 S Bloomington St
#1100
Greencastle, IN 46135
Phone (765) 658-2700
1542 S Bloomington St
Greencastle, IN 46135
Phone (765) 522-2556
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
1400 N Ritter Ave
Ste 375B
Indianapolis, IN 46219
Phone (317) 355-9370
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
275 W 12th St
Peru, IN 46970
Phone (317) 472-8022
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Interoperability endpoints
- gsaliba585856@direct.franciscanalliance.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01064809A | IN | |
| Hospitalist Physician | 208M00000X | 01064809A | IN | Yes |
| Internal Medicine Physician | 207R00000X | 036108589 | IL |
Addresses
Primary practice location
1701 S Creasy LN
Lafayette, IN 47905-4972
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
1542 S Bloomington St
Greencastle, IN 46135-2212
Phone (765) 301-7449
Other practice location 2
1400 N Ritter Ave
Suite 375B
Indianapolis, IN 46219
Phone (317) 355-9370
Other practice location 3
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371391171002 | Medicaid | IL | |
| P00480255 | Other | IL | RAILROAD MEDICARE PTAN |
| 036108589 | Other | IL | ILLINOIS LICENSE |
| 371391171006 | Medicaid | IL | |
| 617396 | Other | IL | HEALTHLINK # |
| P01824550 | Other | IN | RR PTAN |
| 04800010 | Other | IL | ILLINOIS HEALTH CONNECT-NEWTON |
| 336073507 | Other | IL | ILLINOIS CONTROLLED SUBSTANCE LICENSE |
| CG5365 | Other | IL | RAILROAD MEDICARE GROUP |
| 03300006 | Other | IL | ILLINOIS HEALTH CONNECT-EFFINGHAM |
| 200902360 | Medicaid | IN | |
| 036108589 | Medicaid | IL | |
| 2523247 | Other | IL | BC/BS# |
| 337651 | Other | PERSONAL CARE | |
| 617396 | Other | IL | HEALTHLINK |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | georgesaliba@pch.allscriptsdirect.net |
NPI Registry JSON
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1740217686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S CREASY LN",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054972",
"telephone_number": "765-502-4000",
"fax_number": "765-502-4709"
}
],
"practiceLocations": [
{
"address_1": "1542 S Bloomington St",
"address_purpose": "LOCATION",
"city": "Greencastle",
"state": "IN",
"postal_code": "461352212",
"country_code": "US",
"telephone_number": "765-301-7449",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 N Ritter Ave",
"address_2": "Suite 375B",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "46219",
"country_code": "US",
"telephone_number": "317-355-9370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11109 Parkview Plaza Dr",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451701",
"country_code": "US",
"telephone_number": "260-266-2020",
"fax_number": "260-266-2009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALIBA",
"first_name": "GEORGE",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01064809A",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01064809A",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036108589",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371391171002",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P00480255",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS LICENSE",
"identifier": "036108589",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371391171006",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK #",
"identifier": "617396",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR PTAN",
"identifier": "P01824550",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS HEALTH CONNECT-NEWTON",
"identifier": "04800010",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS CONTROLLED SUBSTANCE LICENSE",
"identifier": "336073507",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "CG5365",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS HEALTH CONNECT-EFFINGHAM",
"identifier": "03300006",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200902360",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036108589",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS#",
"identifier": "2523247",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CARE",
"identifier": "337651",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "617396",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "georgesaliba@pch.allscriptsdirect.net",
"affiliation": "N",
"endpointDescription": "Direct",
"address_1": "1542 S Bloomington St",
"city": "Greencastle",
"state": "IN",
"country_code": "US",
"postal_code": "461352212",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lafayette, IN
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- Dustina Renae Sallee
- Lauren N. Sallese
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All providers in Lafayette, IN · Hospitalist Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.