NPIMap

Individual provider Active NPI

Gerard Salame

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1851578488
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12505151 Issued in IL
Practice address
639 W Grace St Apt 134
Chicago, IL 60613-4001
Phone
(703) 434-0711
NPI assigned
Jan 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12505151 IL Primary

Addresses

Primary practice location

639 W Grace St Apt 134
Chicago, IL 60613-4001

Mailing address

639 W Grace St Apt 134
Chicago, IL 60613-4001
Phone (703) 434-0711

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gerardsalame1234@dhha.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20090408000106 CO Practitioner - Internal MedicinePractitioner - Hospitalist 9830246990 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

835 E 18TH Ave,
110 Midtown Inpatient Medicine
Denver, CO 80218-1024
Phone (303) 825-4646

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12505151ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Apr 1, 2008 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 1, 2022 Accepting new patients
Saint Joseph Hospital, Inc Internal Medicine Current Accepting new patients
Denver Health and Hospital Authority CurrentSince Apr 1, 2008 Accepting new patients
Saint Joseph Hospital, Inc Internal Medicine CurrentSince Jun 3, 2019 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 1, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC Internal Medicine Current Accepting new patients
Saint Joseph Hospital, Inc CurrentSince Jun 3, 2019 Accepting new patients
Brighton Community Hospital Association Past Accepting new patients
Good Samaritan Medical Center, LLC Past Accepting new patients

Locations

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

835 E 18th Ave
Ste 110
Denver, CO 80218
Phone (303) 825-4646

1960 N Ogden St
Ste 400
Denver, CO 80218
Phone (303) 318-1540

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610

777 Bannock St
Denver, CO 80204

1960 N Ogden St
Ste 460
Denver, CO 80218
Phone (303) 318-2500

Organizations & group practices 10

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 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1851578488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 W GRACE ST APT 134",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134001",
            "telephone_number": "703-434-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 W GRACE ST APT 134",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134001",
            "telephone_number": "703-434-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAME",
        "first_name": "GERARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "12505151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gerardsalame1234@dhha.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "777 Bannock St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802044507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.