DR. PHILIP LOW III SALSTROM (MD) – Student in an Organized Health Care Education/Training Program, NPI 1174052864
Student in an Organized Health Care Education/Training Program
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Profile Insights
NPPES metrics only — not quality of care.
1,925 OBSTETRICS/GYNECOLOGY in IL
Provider Addresses for DR. PHILIP LOW III SALSTROM (MD)
380 E Il Route 38
Rochelle, IL 610689694
Phone: (779) 696-9050
Type: Location
PO BOX 70569
JOHNSON CITY, TN 376141707
Phone: (423) 439-8097
Type: Mailing
North State of Franklin Road, The Y, Johnson City, Washington County, Tennessee, 37601, United States
JOHNSON CITY, TN 376046056
Phone: (423) 439-7272
Type: Location
PO BOX 78866
MILWAUKEE, WI 532788866
Phone: (779) 696-7150
Type: Mailing
380 E IL ROUTE 38
ROCHELLE, IL 610689694
Phone: (779) 696-9050
Type: Location
1725 N MCKENZIE ST
FOLEY, AL 365352249
Phone: (251) 943-2141
Fax: (251) 949-3453
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-02-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210726002037 | I | Obstetrics/Gynecology | IL | TBD |
| I20260203003522 | I | Obstetrics/Gynecology | AL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| - | TN | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Physician Assistant | MO | |
| - | IL |
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