Individual provider Active NPI

Mehrdad Salamat, MD

  • Pediatric Cardiology Physician
  • Corpus Christi, TX
National Provider Identifier
1154378669
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
L1728 Issued in TX
Practice address
5802 Saratoga Blvd
Suite 320
Corpus Christi, TX 78414
Phone
(361) 452-4404
Fax
(361) 452-4407
NPI assigned
May 28, 2006
Last updated
Mar 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X L1728 TX Primary

Addresses

Primary practice location

5802 Saratoga Blvd
Suite 320
Corpus Christi, TX 78414

Mailing address

PO Box 6247
Corpus Christi, TX 78466-8466
Phone (361) 452-4404

Other identifiers 4

IdentifierTypeStateIssuer
8H9853OtherTXBCBSTX
120044OtherTXSUPERIOR HEALTHPLAN
141268602MedicaidTX
141268602OtherTXCSHCN

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
I20101230000908 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 2466541719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3533 S Alameda St
Corpus Christi, TX 78411-1721

5500 N Expressway
77 Suite 201
Brownsville, TX 78411-1721
Phone (956) 698-8600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1728TXMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Physician Services of South Texas CurrentSince Nov 1, 2023 Accepting new patients
Children's Physician Services of South Texas CurrentSince Nov 1, 2023 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Driscoll Physicians Group Pediatric Cardiology Past Accepting new patients

Locations

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

3533 S Alameda St
Ste 202
Corpus Christi, TX 78411
Phone (361) 206-6097

5802 Saratoga Blvd
Ste 320
Corpus Christi, TX 78414
Phone (361) 452-4404

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1154378669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6247",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784668466",
            "telephone_number": "361-452-4404",
            "fax_number": "361-452-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 SARATOGA BLVD",
            "address_2": "SUITE 320",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78414",
            "telephone_number": "361-452-4404",
            "fax_number": "361-452-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMAT",
        "first_name": "MEHRDAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "L1728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8H9853",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTHPLAN",
            "identifier": "120044",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141268602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "141268602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.