NPIMap

Individual provider Active NPI

Abraham S Salacata, M.D.

  • Cardiovascular Disease Physician
  • Alpena, MI
National Provider Identifier
1255440095
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
AS056672 Issued in MI
Practice address
460 Long Rapids PLZ
Alpena, MI 49707-1442
Phone
(989) 356-0141
Fax
(989) 354-5670
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X AS056672 MI Primary

Addresses

Primary practice location

460 Long Rapids PLZ
Alpena, MI 49707-1442

Mailing address

460 Long Rapids PLZ
Alpena, MI 49707-1442
Phone (989) 356-0141

Other identifiers 2

IdentifierTypeStateIssuer
SA056672OtherMISTATE LICENSE NUMBER
4541395MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071203000186 MI Practitioner - Cardiovascular Disease (Cardiology) 7214905181 Reassigns benefits to 2 organizations

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
McLaren Bay RegionGroup PAC ID 5597659011, 110 clinicians
McLaren Central MichiganGroup PAC ID 6103733092, 183 clinicians

Practice addresses (Care Compare)

1900 Columbus Ave
Bay Regional
Bay City, MI 48708-6831
Phone (989) 894-3000

4489 M
Suite 61
Standish, MI 48658-9273
Phone (989) 846-2600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AS056672MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Bay Region CurrentSince May 10, 2021 Accepting new patients
McLaren Bay Region Internal Medicine CurrentSince May 10, 2021 Accepting new patients
McLaren Central Michigan CurrentSince Nov 1, 2021 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Central Michigan CurrentSince Nov 1, 2021 Accepting new patients
Great Lakes Cardiology, P.C. Cardiovascular Disease Past Accepting new patients
McLaren Bay Region Past Accepting new patients

Locations

1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

1900 Columbus Ave
Fl 4
Bay City, MI 48708
Phone (231) 878-0361

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

4489 M 61
Standish, MI 48658
Phone (989) 846-2600

2110 S M 76
Ste 8
West Branch, MI 48661
Phone (989) 516-0100

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1255440095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 LONG RAPIDS PLZ",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071442",
            "telephone_number": "989-356-0141",
            "fax_number": "989-354-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 LONG RAPIDS PLZ",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071442",
            "telephone_number": "989-356-0141",
            "fax_number": "989-354-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALACATA",
        "first_name": "ABRAHAM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "AS056672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "SA056672",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4541395",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

Verify at the official NPI Registry.