RUSSELL MARK SALAMO (MD) – Internal Medicine Physician, NPI 1750875142

RUSSELL MARK SALAMO (MD) is a healthcare provider. based in Los angeles, California. specializing in INTERVENTIONAL RADIOLOGY. They hold the professional credentials MD. They hold a License No. A164133 (CA). The NPI Number for RUSSELL MARK SALAMO (MD) is 1750875142

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL MARK SALAMO (MD)
NPI
1750875142
Phone
(323) 409-1000
Address
2051 Marengo St
Enumeration Date
19 June 2018
Last Update Date
30 January 2026

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5624613000
Graduation Year
2018 (8 years ago)
PAC ID
3678973005
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20210607002128
Address ID
CA902422814DO9449XHWYX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness95
Years active:7State licenses:1Other names

847 INTERVENTIONAL RADIOLOGY in CA

Provider Addresses for RUSSELL MARK SALAMO (MD)

  • 2051 Marengo St

    Los Angeles, CA 900331352

    Phone: (323) 409-1000

    Type: Location

  • 4650 W Sunset Blvd

    Los Angeles, CA 900276062

    Phone: (323) 660-2450

    Type: Location

  • 222, South Woods Mill Road, Chesterfield, Saint Louis County, Missouri, 63017, United States

    CHESTERFIELD, MO 630173625

    Phone: (314) 205-6050

    Fax: (314) 434-5939

    Type: Mailing

  • 200 S MANCHESTER AVE STE 300

    ORANGE, CA 928683219

    Phone: (714) 456-8888

    Type: Mailing

  • 101 THE CITY DR S

    ORANGE, CA 928683201

    Phone: (714) 456-8888

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $5,155.

Total Amount is formed as General ($5,155) + Research ($0) + Ownership ($0) = $5,155.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Boston Scientific Corporation ($2,141).

Total Amount

$5,155

General + Research + Ownership

Payments

32

Total payment records

General Amount

$5,155

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-06-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210607002128IInterventional RadiologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Physician AssistantCA
N E U R O L O G YCA
Internal MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Family Practice, Sports MedicineCA
Internal MedicineNY

Reviews

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Frequently asked questions

Is RUSSELL MARK SALAMO (MD) listed with a National Provider Identifier?
Yes — RUSSELL MARK SALAMO (MD) has NPI 1750875142 on file in the registry.
Is RUSSELL MARK SALAMO (MD) shown as active in public data?
Registry records indicate RUSSELL MARK SALAMO (MD) maintains an active NPI.
What kind of doctor is RUSSELL MARK SALAMO (MD)?
RUSSELL MARK SALAMO (MD) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is RUSSELL MARK SALAMO (MD) associated with Los Angeles?
Public fields place RUSSELL MARK SALAMO (MD) around Los Angeles, California. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for RUSSELL MARK SALAMO (MD) is noted as June 19, 2018 where the registry provides it.

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