Active NPI
Donald James Salzberg, MD
- Ophthalmology Physician
- West Hartford, CT
National Provider Identifier
1063413615
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.
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 207W00000X
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001256353 | Medicaid | CT |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207W00000X | CT | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visual Eyes Optical LLC | Past | Accepting new patients | |
| Dependable Optical, LLC | Past | Accepting new patients | |
| Donald J Salzberg, MD | Ophthalmology | Past | 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.
-
- Ophthalmology Physician
- West Hartford, CT
- NPI 1235288937
-
- Optician
- West Hartford, CT
- NPI 1780960385
-
- Optician
- West Hartford, CT
- NPI 1134398258
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.