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DR. SALEH M EFTAIHA MD
NPI 1538435268
Colon & Rectal Surgery in Macon, GA

Active since March 27, 2012PECOS EnrolledAccepts Medicare Assignment
98.5/100
CMS Quality Rating
380 HOSPITAL DR BLDG A STE 320, MACON, GA 31217(478) 742-5331 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Saleh M Eftaiha Md NPPES

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

DR. SALEH M EFTAIHA MD (NPI 1538435268) is an individual colon & rectal surgery provider in Macon, Georgia, licensed in Georgia (83795) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1538435268
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. SALEH M EFTAIHACredential: MD
Location Address380 HOSPITAL DR BLDG A STE 320Macon, GA 31217
Mailing Address380 Hospital Dr Bldg A Ste 320Macon, GA 31217 · (478) 742-5331
Phone(478) 742-5331
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2012
Enumeration DateMarch 27, 2012
Last NPPES UpdateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1538435268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in GA · 83795
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License 83795 (GA), 036137178 (IL)
380 HOSPITAL DR BLDG A STE 320, Macon, GA 31217
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11740 W Taylor StChicago, IL 60612-7232 · Phone (866) 600-2273
Location 2800 N Westmoreland Rd Ste 100Lake Forest, IL 60045-1671 · Phone (847) 234-4310 · Fax (847) 234-4336

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Saleh M Eftaiha Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951610146
PECOS Enrollment IDI20240108006039
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
59 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
44 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
41 services39 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
26 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31217 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Other Providers at the Same Location NPPES

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

VLADIMIR ZAHRADNIK M.D.
Surgery (Vascular Surgery)
380 HOSPITAL DR BLDG A STE 320
MACON, GA 31217
Bibb County (478) 742-5331

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 Saleh Eftaiha's NPI number?

The NPI number for Saleh Eftaiha is 1538435268. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Where is Saleh Eftaiha located?

Saleh Eftaiha practices at 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217. The listed phone number is (478) 742-5331.

What is Saleh Eftaiha's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Saleh Eftaiha enrolled in Medicare?

Yes. Saleh Eftaiha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Saleh Eftaiha affiliated with any hospitals?

According to CMS data, Saleh Eftaiha is affiliated with Northwestern Lake Forest Hospital.

When was this NPI record last updated?

The NPPES record for Saleh Eftaiha was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.