Individual provider Active NPI

Louis Matthew Di Salvo, M.D.

  • Neurology Physician
  • Lebanon, PA
National Provider Identifier
1861854978
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD471466 Issued in PA
Practice address
958 Isabel Dr
Lebanon, PA 17042-7482
Phone
(717) 639-2978
Fax
(717) 412-1005
NPI assigned
Mar 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD471466 PA Primary
Neurology Physician 2084N0400X FD3886011 PA
Neurology Physician 2084N0400X MD24490 ME

Addresses

Primary practice location

958 Isabel Dr
Lebanon, PA 17042-7482

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

99 Campus Ave
Lewiston, ME 04240-6045
Phone (207) 777-4455

Other practice location 2

207 W Fulton St
Ephrata, PA 17522-1902
Phone (717) 721-8789

Other practice location 3

368 W Main St Ste 100
Leola, PA 17540-1761
Phone (717) 721-8789

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ldisalvo1150657@direct.bsmhealth.org St. Mary's Regional Medical Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, PA2 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
I20210721003244 ME Practitioner - Neurology 2062704869 Reassigns benefits to 1 organization
I20240416001988 PA Practitioner - Neurology 2062704869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Pennsylvania State University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

958 Isabel Dr
Lebanon, PA 17042-7482
Phone (717) 639-2978

Hospital & facility affiliations

  • Wellspan Good Samaritan Hospital Hospital, Lebanon, PA, CCN 390066
  • Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225
  • Wellspan York Hospital Hospital, York, PA, CCN 390046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD24490MEMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Apr 5, 2024 Accepting new patients
Wellspan Medical Group Current Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Aug 9, 2021 Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Aug 9, 2021 Accepting new patients
Wellspan Medical Group CurrentSince Apr 5, 2024 Accepting new patients

Locations

99 Campus Ave
Ste 402
Lewiston, ME 04240
Phone (207) 777-4455

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

99 Campus Ave
Lewiston, ME 04240
Phone (207) 777-4455

207 W Fulton St
Ephrata, PA 17522
Phone (717) 721-8789

958 Isabel Dr
Lebanon, PA 17042
Phone (717) 639-2978

368 W Main St
#100
Leola, PA 17540
Phone (717) 656-6122

1600 S George St
York, PA 17403
Phone (717) 848-3615

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: ldisalvo441553@wellspan.direct-ci.com
  • Direct secure messaging: ldisalvo1150657@direct.bsmhealth.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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1861854978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 ISABEL DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427482",
            "telephone_number": "717-639-2978",
            "fax_number": "717-412-1005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Campus Ave",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042406045",
            "country_code": "US",
            "telephone_number": "207-777-4455",
            "fax_number": "207-777-4458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 W Fulton St",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221902",
            "country_code": "US",
            "telephone_number": "717-721-8789",
            "fax_number": "717-715-1360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "368 W Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Leola",
            "state": "PA",
            "postal_code": "175401761",
            "country_code": "US",
            "telephone_number": "717-721-8789",
            "fax_number": "717-715-1360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DI SALVO",
        "first_name": "LOUIS",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD471466",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "FD3886011",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ME",
            "license": "MD24490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldisalvo1150657@direct.bsmhealth.org",
            "affiliation": "Y",
            "affiliationName": "St. Mary's Regional Medical Center",
            "address_1": "99 Campus Ave",
            "city": "Lewiston",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042406045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.