Individual provider Active NPI

Giovanni M Salerno, MD

  • Surgery Physician
  • Bourbonnais, IL
National Provider Identifier
1942242698
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
63861-20 Issued in WI
Practice address
461 Brown Blvd
Bourbonnais, IL 60914-2322
Phone
(715) 933-7900
Fax
(815) 933-7090
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2009-01826 NC
Surgery Physician 208600000X A45217 CA
Surgery Physician 208600000X 63861-20 WI Primary
Surgery Physician 208600000X 036 093060 IL

Addresses

Primary practice location

461 Brown Blvd
Bourbonnais, IL 60914-2322

Mailing address

PO Box 54
Bourbonnais, IL 60914-0054
Phone (815) 933-7900

Other practice location 1

2321 Harrison Ave Ste S
Eureka, CA 95501-3216
Phone (707) 443-2248

Other identifiers 3

IdentifierTypeStateIssuer
P00188249OtherILRAILROAD MEDICARE
04622763OtherILBCBS
036093060MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NC, IN, WI, SD, CA, AZ, NM8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20040108000654 IL Practitioner - General Surgery 8325947237 Reassigns benefits to 2 organizations
I20100817000219 NC Practitioner - General Surgery 8325947237
I20130322000126 IN Practitioner - General Surgery 8325947237 Reassigns benefits to 1 organization
I20150520000704 WI Practitioner - General Surgery 8325947237 Reassigns benefits to 3 organizations
I20160719002331 SD Practitioner - General Surgery 8325947237 Reassigns benefits to 1 organization
I20160921001052 CA Practitioner - General Surgery 8325947237 Reassigns benefits to 6 organizations
I20230113000401 AZ Practitioner - General Surgery 8325947237 Reassigns benefits to 1 organization
I20230427003049 NM Practitioner - General Surgery 8325947237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Creighton University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 445-8121

2710 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 267-2060

3300 Renner Dr
Fortuna, CA 95540-3120
Phone (707) 725-3361

47111 Monroe St
Indio, CA 92201-6739
Phone (760) 347-6191

500 Doyle Park Dr
Santa Rosa, CA 95405-4559

729 Pauline Court
Sonora, CA 95370
Phone (209) 588-8068

780 Delnero Dr
Sonora, CA 95370-5223
Phone (209) 536-8461

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy18
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux12
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A45217CAMDPulmonary Disease Physician
036 093060ILMDSurgery Physician
2009-01826NCMDSurgery Physician
63861-20WIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Jul 1, 2025 Accepting new patients
Adventist Health Physicians Network Surgery CurrentSince Jul 1, 2025 Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin Current Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Family Medicine CurrentSince Apr 25, 2024 Accepting new patients
Roswell Clinic Corp CurrentSince Mar 1, 2023 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Bullhead City Clinic Corp Family Medicine CurrentSince Jul 12, 2023 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jun 8, 2016 Accepting new patients
Surgical Affiliates of California Surgery CurrentSince Jul 23, 2017 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Oct 1, 2016 Accepting new patients
Bullhead City Clinic Corp Family Medicine CurrentSince Jul 12, 2023 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Jun 8, 2016 Accepting new patients
Sonora Community Hospital Family Medicine Current Accepting new patients
Swedishamerican Hospital Family Medicine Current Accepting new patients
Divine Savior Healthcare, Inc. Family Medicine CurrentSince May 8, 2015 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince May 8, 2015 Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Dec 1, 2023 Accepting new patients
Sonora Community Hospital Family Medicine CurrentSince May 1, 2025 Accepting new patients
Sonora Community Hospital CurrentSince May 1, 2025 Accepting new patients
Swedishamerican Hospital Family Medicine CurrentSince Nov 15, 2016 Accepting new patients
Sonora Community Hospital CurrentSince May 1, 2025 Accepting new patients
Roswell Clinic Corp Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Porter Physician Services LLC Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Apr 25, 2024 Accepting new patients
Providence Medical Foundation CurrentSince Dec 1, 2023 Accepting new patients
Swedishamerican Hospital CurrentSince Nov 15, 2016 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Family Medicine Current Accepting new patients
Sonora Community Hospital Current Accepting new patients
HSHS Medical Group Inc Family Medicine CurrentSince Jun 6, 2023 Accepting new patients
Sonora Community Hospital Family Medicine Past Accepting new patients
Cleveland Clinic Mercy Hospital Past Accepting new patients
Giovanni Salerno MD PC Surgery PastSince Jun 27, 2003 Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Presence Central and Suburban Hospitals Network Past Accepting new patients
Aurora Health Care Metro, Inc. Family Medicine Past Accepting new patients
St Josephs Hospital of the Hospital Sisters of the Third Order of St F Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Carolinas Medical Center Past Accepting new patients
Deming Hospital Corporation Past Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery PastSince Jul 2, 2023 Accepting new patients
HSHS Holy Family Hospital Inc Past Accepting new patients
Riverside Medical Center Past Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients
Saint Lukes South Hospital, Inc. Past Accepting new patients
Providence Medical Foundation Family Medicine Past Accepting new patients
Swedishamerican Hospital Past Accepting new patients

Locations (25 of 35)

2755 Silver Creek Rd
Ste 111
Bullhead City, AZ 86442
Phone (928) 444-1491

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

2321 Harrison Ave
Ste S
Eureka, CA 95501
Phone (707) 443-2248

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

807 Illinois Ave
Los Banos, CA 93635
Phone (209) 710-8542

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

414 G St
Ste 120
Marysville, CA 95901
Phone (530) 749-2110

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

1180 N Indian Canyon Dr
Ste E317
Palm Springs, CA 92262
Phone (760) 416-5023

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100

780 Delnero Dr
Sonora, CA 95370
Phone (209) 533-2468

193 Fairview Ln
Ste C
Sonora, CA 95370
Phone (209) 532-3124

680 Guzzi Ln
Ste 106
Sonora, CA 95370
Phone (209) 532-2792

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

29980 Network Pl
Chicago, IL 60673

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

1340 Charles St
Ste 100
Rockford, IL 61104
Phone (779) 696-1900

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

9515 Holy Cross Ln
Saint Rose, IL 62230
Phone (618) 526-4511

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gsalerno218178@direct.aspirus.org
  • Direct secure messaging: gsalerno@yourcarecommunity.org
  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 50

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.

View all 50

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1942242698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609140054",
            "telephone_number": "815-933-7900",
            "fax_number": "815-733-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 BROWN BLVD",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142322",
            "telephone_number": "715-933-7900",
            "fax_number": "815-933-7090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2321 Harrison Ave Ste S",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955013216",
            "country_code": "US",
            "telephone_number": "707-443-2248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALERNO",
        "first_name": "GIOVANNI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2009-01826",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A45217",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "63861-20",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036 093060",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00188249",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04622763",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093060",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

Verify at the official NPI Registry.