Active NPI
Kathleen A Salus, D.O.
- Obstetrics & Gynecology Physician
- Crystal Lake, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036-105787
- Practice address
- 260 E Congress Pkwy
Crystal Lake, IL 60014-6235 - Phone
- (815) 477-0300
- Fax
- (815) 477-0300
- NPI assigned
- Jun 5, 2006
- Last updated
- Oct 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036-105787 | IL | Primary |
Addresses
Primary practice location
260 E Congress Pkwy
Crystal Lake, IL 60014-6235
Mailing address
260 E Congress Pkwy
Crystal Lake, IL 60014-6235
Phone (815) 477-0300
Other practice location 1
4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone (815) 344-5000
Other practice location 2
10400 Haligus Rd
Huntley, IL 60142-9553
Phone (224) 654-0000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036105787 | Medicaid | IL | |
| 036105787 | Other | IL | STATE LICENSSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Chicago College of Osteopathy, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10400 Haligus Rd
Huntley, IL 60142-9553
Phone (815) 356-2323
1800 N Main St
Wheaton, IL 60187-3112
Phone (630) 933-4800
260 E Congress Pkwy
Crystal Lake, IL 60014-6235
Phone (815) 477-0300
Hospital & facility affiliations
- Northwestern Medicine McHenry
- Northwestern Medicine Central Dupage Hospital
- Advocate Good Shepherd Hospital
- Advocate Sherman Hospital
- Northwestern Lake Forest Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- Quality
- 88.47
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-105787 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
260 E Congress Pkwy
Crystal Lake, IL 60014
Phone (815) 477-0300
260 E Congress Pkwy
Ste A
Crystal Lake, IL 60014
Phone (815) 477-0300
10400 Haligus Rd
Huntley, IL 60142
Phone (224) 654-0000
11650 S State Route 47
Huntley, IL 60142
Phone (847) 802-7300
4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Organizations & group practices 2
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 Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
dba Northwestern Medicine Regional Medical Group
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Good Shepherd Hospital
- General Acute Care Hospital
- Barrington, IL
- NPI 1447368071
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1629026364
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
dba Centegra Hospital McHenry
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
-
dba Northwestern Medicine Lake Forest Hospital
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540166400000",
"number": "1922047216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 E CONGRESS PKWY",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146235",
"telephone_number": "815-477-0300",
"fax_number": "815-477-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 E CONGRESS PKWY",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146235",
"telephone_number": "815-477-0300",
"fax_number": "815-477-0300"
}
],
"practiceLocations": [
{
"address_1": "4201 W Medical Center Dr",
"address_purpose": "LOCATION",
"city": "McHenry",
"state": "IL",
"postal_code": "600508409",
"country_code": "US",
"telephone_number": "815-344-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10400 Haligus Rd",
"address_purpose": "LOCATION",
"city": "Huntley",
"state": "IL",
"postal_code": "601429553",
"country_code": "US",
"telephone_number": "224-654-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALUS",
"first_name": "KATHLEEN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2018-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036-105787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036105787",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSSE",
"identifier": "036105787",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.