Individual provider Active NPI

Gabriel Ramiro Salazar, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1053645515
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06315 Issued in TX
Practice address
7007 North Fwy #200
Houston, TX 77076
Phone
(281) 875-0830
Fax
(281) 875-0316
NPI assigned
Sep 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06315 TX Primary

Addresses

Primary practice location

7007 North Fwy #200
Houston, TX 77076

Mailing address

4710 Katy Fwy
Houston, TX 77007-2204
Phone (713) 936-5735

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140207001365 TX Practitioner - Physician Assistant 5294964599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth G Berliner MD PAGroup PAC ID 3678724481, 2 clinicians

Practice addresses (Care Compare)

4710 Katy Frwy
Houston, TX 77007-2204

4710 Katy Fwy
Houston, TX 77007-2204
Phone (281) 875-0830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA06315TXMDPhysician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1053645515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 KATY FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770072204",
            "telephone_number": "713-936-5735",
            "fax_number": "832-538-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 NORTH FWY #200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77076",
            "telephone_number": "281-875-0830",
            "fax_number": "281-875-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "GABRIEL",
        "middle_name": "RAMIRO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-30",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.