Mario Rey Salazar, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036114108 Issued in IL

Practice address

1101 Perimeter Dr Ste 620
Schaumburg, IL 60173-5056

Phone

(847) 619-5500

NPI assigned

Jun 14, 2007

Last updated

Jan 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

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

Specialty

General Surgery

Education

University of Texas Medical School at Houston, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Group PLLCGroup PAC ID 8022334481, 13 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Texas Group PLLC

  dba Metro Vein Centers

  • Surgery Physician
  • Allen, TX
  • NPI 1720477706
  Medicare reassignment Care Compare group NPD
• Ess of South Texas LLC

  • Emergency Medicine Physician
  • Liberty, TX
  • NPI 1295128247
  Medicare reassignment NPD
• MVC Az

  dba Metro Vein Centers

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1477256063
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1164626917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 SPRING RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605233944",
            "telephone_number": "630-725-2700",
            "fax_number": "630-725-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PERIMETER DR STE 620",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735056",
            "telephone_number": "847-619-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11221 Katy Fwy Ste 115",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770792105",
            "country_code": "US",
            "telephone_number": "281-888-1464",
            "fax_number": "713-640-5938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "MARIO",
        "middle_name": "REY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M7587",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35099584",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036114108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068422",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP PTAN",
            "identifier": "DV0090",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD INDIVIDUAL PTAN",
            "identifier": "P01574620",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "340739",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "340731",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Safe Home Care LLC
• Solomon J Sager, M.D.
• Cristina S Saguil, D.M.D
• Jasmine Said
• Arizza Denice Salas, LSW
• Salem Dental, P.C.
• Nisreen Rula Salem, PHARM.D
• Ma. Karlotta Sales, PT
• Allison Salituro, PHD
• Emma Salley

• Surgery Physician in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.