Maxim Eslao Salva, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

13172A Issued in WY

Practice address

3632 American Way
Casper, WY 82604-3164

Phone

(307) 234-6765

Fax

(307) 234-6998

NPI assigned

Sep 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

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 1

Specialty

Family PracticeAlso: Internal Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Banner Health Physicians West LLC 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Casper Home Health LLC Home health agency, Casper, WY, CCN 537084
• Caringedge Healthcare of Casper LLC Home health agency, Casper, WY, CCN 537086
• Central Wyoming Hospice Program Hospice, Casper, WY, CCN 531501
• Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012

Merit-based Incentive Payment System (MIPS)

Final score

80.9 of 100Reported as group

Quality

68.13

Promoting interoperability

99

Improvement activities

40

Cost

69.04

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Banner Health Physicians West LLC

  • Multi-Specialty Clinic/Center
  • Casper, WY
  • NPI 1063778728

  Single Specialty, WY

  Medicare reassignment Care Compare group NPD
• Banner Health Physicians West LLC

  • Multi-Specialty Clinic/Center
  • Ogallala, NE
  • NPI 1154687812

  Single Specialty

  Care Compare group NPD
• Banner Health Physicians West LLC

  • Multi-Specialty Clinic/Center
  • Fallon, NV
  • NPI 1427314186
  Care Compare group

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

• Casper Home Health, LLC

  • Home Health Agency
  • Casper, WY
  • NPI 1336652452
  Care Compare affiliation
• Central Wyoming Hospice Program

  • Community Based Hospice Care Agency
  • Casper, WY
  • NPI 1295725976

  Hospice

  Care Compare affiliation
• Wyoming Medical Center Inc

  • General Acute Care Hospital
  • Casper, WY
  • NPI 1346332954

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1932395944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 AMERICAN WAY",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826043164",
            "telephone_number": "307-234-6765",
            "fax_number": "305-234-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 AMERICAN WAY",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826043164",
            "telephone_number": "307-234-6765",
            "fax_number": "307-234-6998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Guion Pl",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "108015502",
            "country_code": "US",
            "telephone_number": "914-365-3680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Sixth St SW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447101702",
            "country_code": "US",
            "telephone_number": "330-363-6235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALVA",
        "first_name": "MAXIM",
        "middle_name": "ESLAO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "13172A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leigh Ryerson-Heaton
• S48Wy1, LLC
• Sage Counseling LLC
• Sage Medical Group LLC
• Sage Medical Group LLC
• Rebecca Leigh Samberg, DNP, FNP-C
• Daniel Samelson
• Sams West Inc
• Sams West, Inc.
• Elicia Sanchez

• All providers in Casper, WY
• Internal Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.

Verify at the official NPI Registry.