Active NPI
Ralph Salloum, M.D.
- Pediatric Hematology & Oncology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 1020072
- Practice address
- 450 Brookline Ave
Boston, MA 02215-5418 - Phone
- (617) 632-3000
- NPI assigned
- Jul 20, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35.097799 | OH | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 35.097799 | OH | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 1020072 | MA | Primary |
Addresses
Primary practice location
450 Brookline Ave
Boston, MA 02215-5418
Mailing address
450 Brookline Ave
Boston, MA 02215-5418
Phone (617) 632-3000
Other practice location 1
700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000
Other practice location 2
5675 Venture Dr
Dublin, OH 43017-2159
Phone (614) 722-2000
Other practice location 3
8930 Ohio River Rd
Wheelersburg, OH 45694-1922
Phone (614) 722-2000
Other practice location 4
4439 State Route 159
Chillicothe, OH 45601-8207
Phone (614) 722-2000
Other practice location 5
555 S 18th St
Columbus, OH 43205-2654
Phone (614) 722-2000
Other practice location 6
5665 Venture Dr
Dublin, OH 43017-2159
Phone (614) 722-2000
Other practice location 7
716 Adair Ave
Zanesville, OH 43701-2836
Phone (614) 722-2000
Other practice location 8
6435 E Broad St
Columbus, OH 43213-1507
Phone (614) 722-2000
Other practice location 9
300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0119994 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000
450 Brookline Ave
Boston, MA 02215-5418
Phone (617) 632-3586
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1020072 | MA | MD | Pediatric Hematology & Oncology Physician |
| 35.097799 | OH | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Pediatric Associates, Inc | Pediatrics | Current | Accepting new patients |
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients | |
| Nationwide Children's Hospital | Current | Accepting new patients | |
| Pediatric Academic Association, Inc. | Pediatrics | Current | Accepting new patients |
| Nationwide Children's Hospital | Pediatrics | Current | Accepting new patients |
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients |
Locations
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061
Dept 781629
Detroit, MI 48278
4439 State Route 159
Chillicothe, OH 45601
Phone (740) 779-8728
555 S 18th St
Columbus, OH 43205
Phone (614) 722-4554
Dept L289
Columbus, OH 43260
6435 E Broad St
Columbus, OH 43213
Phone (614) 355-8100
700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411
1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600
5675 Venture Dr
Dublin, OH 43017
Phone (614) 355-9580
5665 Venture Dr
Dublin, OH 43017
Phone (614) 355-8480
8930 Ohio River Rd
Wheelersburg, OH 45694
Phone (740) 574-1903
716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239
Organizations & group practices 6
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.
-
- Pediatrics Physician
- Boston, MA
- NPI 1457306664
-
dba Dana-Farber Cancer Institute
- General Acute Care Hospital
- Boston, MA
- NPI 1851333686
-
- Pediatrics Physician
- Columbus, OH
- NPI 1063419943
-
dba The Friends' Place
- Durable Medical Equipment & Medical Supplies
- Chestnut Hill, MA
- NPI 1497429237
-
dba Nationwide Children's Hospital Pharmacy
- Durable Medical Equipment & Medical Supplies
- Columbus, OH
- NPI 1447061262
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Dana-Farber Cancer Institute
- General Acute Care Hospital
- Boston, MA
- NPI 1851333686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1962602607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155418",
"telephone_number": "617-632-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155418",
"telephone_number": "617-632-3000"
}
],
"practiceLocations": [
{
"address_1": "700 Childrens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432052664",
"country_code": "US",
"telephone_number": "614-722-2000",
"fax_number": "614-722-3369",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5675 Venture Dr",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "430172159",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8930 Ohio River Rd",
"address_purpose": "LOCATION",
"city": "Wheelersburg",
"state": "OH",
"postal_code": "456941922",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4439 State Route 159",
"address_purpose": "LOCATION",
"city": "Chillicothe",
"state": "OH",
"postal_code": "456018207",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "555 S 18th St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432052654",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5665 Venture Dr",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "430172159",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "716 Adair Ave",
"address_purpose": "LOCATION",
"city": "Zanesville",
"state": "OH",
"postal_code": "437012836",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6435 E Broad St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432131507",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Longwood Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021155724",
"country_code": "US",
"telephone_number": "617-355-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALLOUM",
"first_name": "RALPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-20",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.097799",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "OH",
"license": "35.097799",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "MA",
"license": "1020072",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0119994",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.