Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ellis J Salloum, MD

Individual provider Surgery Physician · NPI 1871540088

Dr. Ellis J Salloum, MD is a Vascular Surgery in San Antonio, Texas. Graduated from University of Mississippi School of Medicine in 1993, 33 years ago. Practices with M Reza Mizani MD PA, a 29-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
33
Trained at
University of Mississippi School of Medicine
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8115 Datapoint Dr Ste 200
San Antonio, TX 78229-3745
Phone: (210) 615-6626
Fax: (210) 477-0279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 215 N San Saba Ste 201, San Antonio, TX 78207-3120 — (210) 547-3430
  • 215 N San Saba Ste 206, San Antonio, TX 78207-3120 — (210) 615-6626

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence V8531 (TX)
Surgery Physician Taxonomy 208600000X · Licence V8531 (TX)

Record details

NPI number1871540088
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice M Reza Mizani Md Pa — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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