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EZZELDIN A SALEH MD
NPI 1417951971
Pediatrics - Pediatric Infectious Diseases in Springfield, IL

Active since June 11, 2005PECOS Enrolled
301 N 8TH ST STE 4A, SPRINGFIELD, IL 62701(217) 545-8000(217) 545-6040 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ezzeldin A Saleh Md NPPES

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

EZZELDIN A SALEH MD (NPI 1417951971) is an individual pediatric infectious diseases provider in Springfield, Illinois, licensed in Illinois (036-144396) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417951971
Entity TypeIndividualMale
Primary Taxonomy2080P0208X
Provider Legal NameEZZELDIN A SALEHCredential: MD
Location Address301 N 8TH ST STE 4ASpringfield, IL 62701-1013
Mailing AddressPo Box 19658Springfield, IL 62794-9658 · (217) 545-8000 · Fax (217) 545-6040
Phone(217) 545-8000
Fax(217) 545-6040
Sole ProprietorNo
Enumeration DateJune 11, 2005
Last NPPES UpdateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
✔ NPI 1417951971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in IL · 036-144396
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
301 N 8TH ST STE 4A, Springfield, IL 62701
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Other Identifiers 2

Other036-144396IL · State License
Medicaid1167665LA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ezzeldin A Saleh Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Ezzeldin Saleh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Siu Physicians & Surgeons, Inc
0.4 mi
Endocrinology, Diabetes & Metabolism
201 E MADISON ST STE 328
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 645 clinicians in this Medicare group
NPI 1558385989 (217) 545-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

SUBHASH C CHAUDHARY M.D.
Pediatrics (Pediatric Infectious Diseases)
301 N 8TH ST STE 4A
SPRINGFIELD, IL 62701
Sangamon County (217) 545-8000
AMANDA ARMSTRONG LCPC
Counselor (Professional)
301 N 8TH ST STE 4A
SPRINGFIELD, IL 62701
Sangamon County (217) 545-8000
DANIEL J NIEBRUGGE M.D.
Pediatrics
301 N 8TH ST STE 4A
SPRINGFIELD, IL 62701
Sangamon County (217) 545-8000
AYA EL JERBI MD
Pediatrics
301 N 8TH ST STE 4A
SPRINGFIELD, IL 62701
Sangamon County (217) 545-8000
MARY LYNN O'CONNOR
Genetic Counselor, MS
301 N 8TH ST STE 4A
SPRINGFIELD, IL 62701
Sangamon County (217) 545-8000
GERALD MILLER M.D.
Pediatrics
301 N 8TH ST STE 4A
SPRINGFIELD, IL 62701
Sangamon County (217) 545-8000
PETER S KIEFFER M.D.
Pediatrics
301 N 8TH ST STE 4A
SPRINGFIELD, IL 62701
Sangamon County (217) 545-8000

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 Ezzeldin Saleh's NPI number?

The NPI number for Ezzeldin Saleh is 1417951971. It was assigned to this individual provider in the NPPES registry on June 11, 2005.

Where is Ezzeldin Saleh located?

Ezzeldin Saleh practices at 301 N 8th St Ste 4A, Springfield, IL 62701. The listed phone number is (217) 545-8000.

What is Ezzeldin Saleh's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Ezzeldin Saleh enrolled in Medicare?

Yes. Ezzeldin Saleh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ezzeldin Saleh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ezzeldin Saleh reassigns Medicare benefits to Siu Physicians & Surgeons, Inc (Springfield, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ezzeldin Saleh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ezzeldin Saleh was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.