Individual provider Active NPI

Roderick Henry Salach, D.O.

  • Rheumatology Physician
  • Merritt Island, FL
National Provider Identifier
1174627228
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
OS 6549 Issued in FL
Practice address
40 Fortenberry Road
Merritt Island, FL 32952
Phone
(321) 453-0779
Fax
(321) 453-4188
NPI assigned
Sep 11, 2006
Last updated
Feb 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X OS 6549 FL Primary

Addresses

Primary practice location

40 Fortenberry Road
Merritt Island, FL 32952

Mailing address

40 Fortenberry Road
Merritt Island, FL 32952
Phone (321) 453-0779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100925000035 FL Practitioner - Rheumatology 0244287563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Midwestern University, Chicago College of Osteopathic Med, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
American Arthritis and Rheumatology Associates LLCGroup PAC ID 0840575007, 66 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

4332 S Hopkins Ave
Titusville, FL 32780-6610
Phone (321) 453-0779

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 6549FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Arthritis & Rheumatology Associates LLC Rheumatology CurrentSince May 1, 2017 Accepting new patients

Locations

1831 N Belcher Rd
Ste D2
Clearwater, FL 33765
Phone (727) 734-6631

12977 Southern Blvd
Ste 200
Loxahatchee, FL 33470
Phone (561) 747-1987

40 Fortenberry Rd
Merritt Island, FL 32952
Phone (321) 453-0779

4332 S Hopkins Ave
Titusville, FL 32780
Phone (321) 264-1135

Interoperability endpoints

  • Direct secure messaging: roderick.salach.p78@direct.aara1.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1174627228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FORTENBERRY ROAD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "32952",
            "telephone_number": "321-453-0779",
            "fax_number": "321-453-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FORTENBERRY ROAD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "32952",
            "telephone_number": "321-453-0779",
            "fax_number": "321-453-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALACH",
        "first_name": "RODERICK",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "OS 6549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.