NPIMap

Individual provider Active NPI

Anna Flor C. Salcedo, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1053486472
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12105 Issued in NV
Practice address
3750 S Jones Blvd Ste 120
Las Vegas, NV 89103-2209
Phone
(702) 434-8880
Fax
(702) 862-8880
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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 12105 NV Primary

Addresses

Primary practice location

3750 S Jones Blvd Ste 120
Las Vegas, NV 89103-2209

Mailing address

PO Box 98978
Las Vegas, NV 89193-8978
Phone (702) 216-3346

Other identifiers 4

IdentifierTypeStateIssuer
1053486472MedicaidNV
12105OtherNVSTATE LICENSE
100511138MedicaidNV
NV5935OtherBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070130000399 NV Practitioner - Internal Medicine 5698776896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Julie Wu IncGroup PAC ID 8628163201, 7 clinicians

Practice addresses (Care Compare)

3750 S Jones Blvd
Suite 120
Las Vegas, NV 89103-2209
Phone (702) 434-8880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
40.61 of 100Reported as individual
Quality
40
Improvement activities
0
Cost
82.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12105NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Medical Group Coats LTD Internal Medicine Current Accepting new patients
Julie Wu, Inc CurrentSince Jul 6, 2021 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

3750 S Jones Blvd
Ste 100
Las Vegas, NV 89103
Phone (702) 735-6209

2995 S Jones Blvd
Ste A
Las Vegas, NV 89146
Phone (702) 227-0005

3221 E Warm Springs Rd
Las Vegas, NV 89120
Phone (702) 733-7617

3750 S Jones Blvd
Ste 120
Las Vegas, NV 89103
Phone (702) 291-8828

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHEHBD/Endpoint/AHEHBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHEHBD

Organizations & group practices 7

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 5

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1053486472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98978",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891938978",
            "telephone_number": "702-216-3346",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 S JONES BLVD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032209",
            "telephone_number": "702-434-8880",
            "fax_number": "702-862-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALCEDO",
        "first_name": "ANNA FLOR",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "12105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053486472",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "12105",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100511138",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NV5935",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.