Active NPI
Ellis J Salloum, M.D.
- Vascular Surgery Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- V8531
- Practice address
- 8115 Datapoint Dr Ste 200
San Antonio, TX 78229-3745 - Phone
- (210) 615-6626
- Fax
- (210) 477-0279
- NPI assigned
- May 31, 2006
- Last updated
- Aug 4, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | V8531 | TX | |
| Vascular Surgery Physician | 2086S0129X | V8531 | TX | Primary |
Addresses
Primary practice location
8115 Datapoint Dr Ste 200
San Antonio, TX 78229-3745
Mailing address
215 N San Saba Ste 301
San Antonio, TX 78207-3164
Phone (210) 615-6626
Other practice location 1
215 N San Saba Ste 201
San Antonio, TX 78207-3120
Phone (210) 547-3430
Other practice location 2
215 N San Saba Ste 206
San Antonio, TX 78207-3120
Phone (210) 615-6626
Other names 1
- Dr. Ellis J Salloum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, PA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Mississippi School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8115 Datapoint Dr
Suite 200
San Antonio, TX 78229-3745
Phone (210) 614-7900
Hospital & facility affiliations
- Baptist Medical Center
- Christus Santa Rosa Medical Center
- Westover Hills Baptist Hospital
- West Virginia University Hospitals, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V8531 | TX | MD | Surgery Physician |
| 37431 | TN | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| M. Reza Mizani, M.D., P.a. | Surgery | Current | Accepting new patients |
| West Virginia University Medical Corporation | Surgery | Current | Accepting new patients |
| Wvu Med Corp Cheat Lake Physicians | Current | Accepting new patients | |
| M. Reza Mizani, M.D., P.a. | Current | Accepting new patients | |
| The Baxley and Appling County Hospital Authority | Past | Accepting new patients | |
| Natchez Medical Foundation Inc. | Vascular Surgery | Past | Accepting new patients |
| Wesley Physician Services LLC | Past | Accepting new patients | |
| Natchez Regional Clinic | Surgery | Past | Accepting new patients |
Locations
251 N 4th St
Oakland, MD 21550
Phone (301) 533-4000
880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177
401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343
451 Murtha Dr
Waynesburg, PA 15370
Phone (304) 598-4253
205 22nd St
Hondo, TX 78861
Phone (830) 426-2753
215 N San Saba
Ste 201
San Antonio, TX 78207
Phone (210) 547-3430
215 N San Saba
Ste 206
San Antonio, TX 78207
Phone (210) 477-3271
215 N San Saba
Ste 301
San Antonio, TX 78207
Phone (210) 212-8984
343 W Houston St
Ste 609
San Antonio, TX 78205
Phone (210) 212-4595
8115 Datapoint Dr
Ste 200
San Antonio, TX 78229
1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2185
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124
Interoperability endpoints
- esalloum156837@direct.wvuhsdirect.com
- https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4
Organizations & group practices 9
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.
-
dba South Texas Renal Care Group
- Nephrology Physician
- San Antonio, TX
- NPI 1275503393
Surgery
-
dba University Health Associates
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
PA, Surgery
-
dba Total Vascular Care
- Ambulatory Surgical Clinic/Center
- San Antonio, TX
- NPI 1740700111
-
dba Crisis Support and Recovery Center
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- Clinical Medical Laboratory
- Morgantown, WV
- NPI 1568661148
-
- Gynecologic Oncology Physician
- Natchez, MS
- NPI 1306165717
Vascular Surgery
-
dba Appling Medical Group
- Rural Health Clinic/Center
- Baxley, GA
- NPI 1073752143
-
- Family Medicine Physician
- Hattiesburg, MS
- NPI 1538200209
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHRISTUS Santa Rosa Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1194787218
-
dba Baptist Medical Center
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
-
dba Westover Hills Baptist Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1831970532
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1871540088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 N SAN SABA STE 301",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782073164",
"telephone_number": "210-615-6626",
"fax_number": "210-477-0279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8115 DATAPOINT DR STE 200",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293745",
"telephone_number": "210-615-6626",
"fax_number": "210-477-0279"
}
],
"practiceLocations": [
{
"address_1": "215 N San Saba Ste 201",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782073120",
"country_code": "US",
"telephone_number": "210-547-3430",
"fax_number": "210-229-2626",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "215 N San Saba Ste 206",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782073120",
"country_code": "US",
"telephone_number": "210-615-6626",
"fax_number": "210-477-0279",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALLOUM",
"first_name": "ELLIS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "V8531",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TX",
"license": "V8531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLIS",
"last_name": "SALLOUM",
"middle_name": "J",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.