✓ Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) (207RI0011X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

SALEM BADR, MD (NPI #1396189205)

Internal Medicine, Interventional Cardiology • SPRINGFIELD, IL • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1396189205
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RI0011X (CMS C3)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
619 E MASON ST STE 4P57, SPRINGFIELD, IL, 62701-1034
✓ 9-Digit EDI 837 ZIP+4 (62701-1034)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1396189205 (SALEM BADR, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1396189205)

Medicare Beneficiaries
350
Total Billed Services
736
Distinct CPT/HCPCS Codes
44
Medicare Allowed Total
$95,113.56

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch19
92978 Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel12
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function22
93454 Insertion of tube in coronary artery for diagnosis with review by radiologist18
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist32
99152 Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more28
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more51

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Amlodipine Besylate
Amlodipine Besylate
3916
Atorvastatin Calcium
Atorvastatin Calcium
5921
Brilinta
Ticagrelor
13<11
Carvedilol
Carvedilol
5021
Clopidogrel
Clopidogrel Bisulfate
9837
Diltiazem Hcl
Diltiazem Hcl
12<11
Eliquis
Apixaban
4917
Entresto
Sacubitril/Valsartan
20<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1396189205 (NPI-1 Individual Practitioner)
Provider / Legal NameSALEM BADR, MD
Plain-English SpecialtyBoard-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
NUCC Code: 207RI0011X (Internal Medicine, Interventional Cardiology)
Certifying / Licensing BodyAmerican Board of Internal Medicine (ABIM)
Practice Location Address619 E MASON ST STE 4P57, SPRINGFIELD, IL, 62701-1034
Practice Telephone / FaxTel: (217) 788-0706
Administrative Mailing Address619 E MASON ST STE 4P57, SPRINGFIELD, IL, 62701-1034
Enumeration & Last SyncEnumerated: 2013-04-22 | CMS Record Updated: 2026-04-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

619 E MASON ST STE 4P57, SPRINGFIELD, IL, 62701-1034

🗺️ Open in Google Maps 🏥 More Providers in SPRINGFIELD

Plain-English Taxonomy & CMS Crosswalk (207RI0011X)

What Does Taxonomy Code 207RI0011X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RI0011X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code C3 (Physician/Interventional Cardiology)
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SALEM BADR, MD)

Typical CPT / Diagnostic Procedures:
  • Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
  • Preoperative Medical Risk Assessment & Cardiac Clearance
  • Chronic Kidney, Hepatic & Metabolic Panel Interpretation
  • Adult Inpatient Hospitalist Management & Discharge Coordination
Common Therapeutic Classes:
  • Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
  • Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
  • Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
  • Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207RC0000X — Internal Medicine, Cardiovascular Disease
Plain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist)
State: WV | License: 31510 | Primary: Secondary
207RI0011X — Internal Medicine, Interventional Cardiology
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: IL | License: 036.173220 | Primary: Secondary
207RI0011X — Internal Medicine, Interventional Cardiology
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: WI | License: 65261 | Primary: Yes (Primary)
207RC0000X — Internal Medicine, Cardiovascular Disease
Plain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist)
State: WI | License: 207RC0000X | Primary: Secondary
Medical Billing, RCM & Hospital Credentialing Teams:
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