ALEXANDER CHARLES SALLOUM (MD) – Vascular Surgery Physician, NPI 1124176151
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
674 VASCULAR SURGERY in CA
Provider Addresses for ALEXANDER CHARLES SALLOUM (MD)
1045 E Pennsylvania Ave
Escondido, CA 920254616
Phone: (760) 884-4500
Fax: (619) 567-7775
Type: Location
6719 Alvarado Rd Ste 303
San Diego, CA 921205264
Phone: (619) 500-7699
Fax: (619) 567-7775
Type: Location
Broadway, Chula Vista, San Diego County, California, 92154, United States
CHULA VISTA, CA 919112700
Phone: (619) 567-7007
Fax: (619) 567-7775
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 55 Open Payments records for all available years, with a total value of $20,436.
Total Amount is formed as General ($20,436) + Research ($0) + Ownership ($0) = $20,436.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AngioDynamics, Inc. ($12,364).
Total Amount
$20,436
General + Research + Ownership
Payments
55
Total payment records
General Amount
$20,436
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AngioDynamics, Inc. | $12,364 |
| Provisio Medical | $4,266 |
| Medtronic, Inc. | $2,123 |
| Provisio Medical, Inc. | $605 |
| Abbott Laboratories | $402 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-11-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101101000734 | I | Vascular Surgery | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 17,754 | 104 | $0 |
| Q9965 | Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml | 2,526 | 21 | $0 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 701 | 133 | $0 |
| 99153 | Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 546 | 187 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 360 | 199 | $0 |
Insurance plans in this area (ZIP 92025)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| P O D I A T R Y | CA | |
| Vascular Surgery | NE | |
| General Surgery | CA | |
| Nurse Practitioner | CA | |
| General Surgery | CA | |
| Emergency Medicine | CA | |
| - | CA | |
| Vascular Surgery | OH | |
| Cardiovascular Disease (Cardiology), Thoracic Surgery | CA |
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