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BRIAN SALCEDO DO
NPI 1104629047
Student in an Organized Health Care Education/Training Program in Grayslake, IL

Active since March 28, 2025PECOS Enrolled
1475 E BELVIDERE RD UNIT 385, GRAYSLAKE, IL 60030(847) 535-7157 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian Salcedo Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN SALCEDO DO (NPI 1104629047) is an individual student in an organized health care education/training program in Grayslake, Illinois and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104629047
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRIAN SALCEDOCredential: DO
Location Address1475 E BELVIDERE RD UNIT 385Grayslake, IL 60030-2026
Mailing Address1475 E Belvidere Rd Unit 385Grayslake, IL 60030-2026 · (847) 535-7157
Phone(847) 535-7157
Sole ProprietorNo
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 25, 2025
✔ NPI 1104629047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1475 E BELVIDERE RD UNIT 385, Grayslake, IL 60030
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Salcedo Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD R. CLARK M.D.
Family Medicine
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-8000
OSCAR CASTRO MD
Family Medicine
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157
GRACIA GILREATH
Student in an Organized Health Care Education/Training Program
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157
ALAIN PIERRE-LOUIS MD, MA
Family Medicine
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157
GIAN CARLOS VILLAGOMEZ
Student in an Organized Health Care Education/Training Program
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157
RACHEL JEAN BERNARDO DO
Family Medicine
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157
ALLISON STICKNEY
Student in an Organized Health Care Education/Training Program
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157
ZAYNAH AHMED
Student in an Organized Health Care Education/Training Program
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Salcedo's NPI number?

The NPI number for Brian Salcedo is 1104629047. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Brian Salcedo located?

Brian Salcedo practices at 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030. The listed phone number is (847) 535-7157.

What is Brian Salcedo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brian Salcedo enrolled in Medicare?

Yes. Brian Salcedo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Salcedo was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.