Individual provider Active NPI

Juan Jose Salazar, MD

  • Internal Medicine Physician
  • McAllen, TX
National Provider Identifier
1003804741
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G6390 Issued in TX
Practice address
801 E Nolana Ave Ste 2
McAllen, TX 78504-6113
Phone
(956) 687-1177
Fax
(956) 687-3290
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G6390 TX Primary

Addresses

Primary practice location

801 E Nolana Ave Ste 2
McAllen, TX 78504-6113

Mailing address

PO Box 749
Pharr, TX 78577-1614
Phone (956) 687-1177

Other identifiers 1

IdentifierTypeStateIssuer
128090105MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100504000838 TX Practitioner - Internal Medicine 0143358697 Reassigns benefits to 1 organization
Practice locations: McAllen, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Creighton University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians

Practice addresses (Care Compare)

5501 S McColl Rd
Edinburg, TX 78539-5503
Phone (956) 362-2171

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

Merit-based Incentive Payment System (MIPS)

Final score
98.1 of 100Reported as group
Quality
86
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Medical Foundation Internal Medicine CurrentSince Jan 16, 2023 Accepting new patients
The University of Texas Rio Grande Valley CurrentSince Jul 10, 2017 Accepting new patients
The University of Texas Rio Grande Valley Internal Medicine Current Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

5423 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3575

2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437

801 E Nolana Ave
Ste 2
McAllen, TX 78504
Phone (956) 362-8860

1000 E Dove Ave
Ste 201
McAllen, TX 78504
Phone (956) 362-3505

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1003804741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771614",
            "telephone_number": "956-687-1177",
            "fax_number": "956-687-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E NOLANA AVE STE 2",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046113",
            "telephone_number": "956-687-1177",
            "fax_number": "956-687-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "JUAN",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2023-04-19",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G6390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128090105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.