Individual provider Active NPI

Donald James Salzberg, MD

  • Ophthalmology Physician
  • West Hartford, CT
National Provider Identifier
1063413615
Registry record updated Sep 10, 2015
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Aug 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
207W00000X Issued in CT
Practice address
836 Farmington Ave
Suite 121
West Hartford, CT 06119-1505
Phone
(860) 233-2346
Fax
(860) 236-3607
NPI assigned
Aug 4, 2005
Reactivated
Mar 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 207W00000X CT Primary

Addresses

Primary practice location

836 Farmington Ave
Suite 121
West Hartford, CT 06119-1505

Mailing address

836 Farmington Ave
Suite 121
West Hartford, CT 06119-1505
Phone (860) 233-2346

Other identifiers 1

IdentifierTypeStateIssuer
001256353MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207W00000XCTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Visual Eyes Optical LLC PastSince Sep 7, 1998 Accepting new patients
Dependable Optical, LLC PastSince Oct 1, 2011 Accepting new patients
Donald J Salzberg, MD Ophthalmology PastSince Jan 15, 2010 Accepting new patients

Organizations & group practices 3

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": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1063413615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 FARMINGTON AVE",
            "address_2": "SUITE 121",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191505",
            "telephone_number": "860-233-2346",
            "fax_number": "860-236-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 FARMINGTON AVE",
            "address_2": "SUITE 121",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191505",
            "telephone_number": "860-233-2346",
            "fax_number": "860-236-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALZBERG",
        "first_name": "DONALD",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2015-09-10",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "207W00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001256353",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.