Active NPI
Michael P Salata, M.D.
- Internal Medicine Physician
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301072393
- Practice address
- 1105 6TH St
Traverse City, MI 49684-2349 - Phone
- (231) 947-0673
- Fax
- (801) 740-2847
- NPI assigned
- Jun 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 4301072393 | MI | |
| Internal Medicine Physician | 207R00000X | 4301072393 | MI | Primary |
Addresses
Primary practice location
1105 6TH St
Traverse City, MI 49684-2349
Mailing address
PO Box 107
Traverse City, MI 49685-0107
Phone (231) 947-0673
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4326511 | Medicaid | MI | |
| MS072393 | Other | MI | BLUE CROSS BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | msalata985271@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Michigan Ave NE
Grand Rapids, MI 49503-2560
100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115
300 N Patterson Rd
Reed City, MI 49677-8041
Phone (231) 832-7140
400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7200
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
5 Atkinson Dr
302 Corewell Health Medical Group West
Ludington, MI 49431-1906
Phone (616) 267-8700
605 Oak St
Big Rapids, MI 49307-2048
Phone (231) 592-4270
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301072393 | MI | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epmg of Michigan, P.C. | Current | Accepting new patients | |
| Sound Inpatient Physicians - Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| Wexford Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Sound Inpatient Physicians-Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Hawaii Inc | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Michigan PLLC | Internal Medicine | Current | Accepting new patients |
| Spectrum Health Primary Care Partners | Internal Medicine | Current | Accepting new patients |
| Sound Inpatient Physicians-Michigan PLLC | Internal Medicine | Current | Accepting new patients |
| Munson Healthcare Cadillac | Past | Accepting new patients | |
| Indigo Services, PLC | Emergency Medical Services | Past | Accepting new patients |
| Mecosta County Medical Center | Past | Accepting new patients |
Locations
79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413
1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000
400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200
224 Park Ave
Frankfort, MI 49635
Phone (231) 352-2200
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
2249 Wealthy St SE
Ste 110
Grand Rapids, MI 49506
Phone (616) 391-4600
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Interoperability endpoints
- msalata985271@oc.providencedirect.org
- msalata106009@epic00.corewelldirect.org
Organizations & group practices 12
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.
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Emergency Medicine Physician
- Livonia, MI
- NPI 1386688992
-
- Internal Medicine Physician
- Adrian, MI
- NPI 1013180181
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
-
- Internal Medicine Physician
- Kealakekua, HI
- NPI 1740658053
-
- Internal Medicine Physician
- Adrian, MI
- NPI 1033370283
-
dba Sound Physicians
- Hospitalist Physician
- Escanaba, MI
- NPI 1366768178
Internal Medicine
-
- Internal Medicine Physician
- Grayling, MI
- NPI 1639311996
-
- Hospitalist Physician
- Traverse City, MI
- NPI 1790769669
Emergency Medical Services
-
dba Corewell Health Big Rapids Hospital
- General Acute Care Hospital
- Big Rapids, MI
- NPI 1316945991
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corewell Health Big Rapids Hospital
- General Acute Care Hospital
- Big Rapids, MI
- NPI 1316945991
-
dba Corewell Health Ludington Hospital
- General Acute Care Hospital
- Ludington, MI
- NPI 1972589489
-
dba Munson Healthcare Cadillac Physician Network
- Family Medicine Physician
- Cadillac, MI
- NPI 1487051611
Hospital
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba Corewell Health Reed City Hospital
- Critical Access Hospital
- Reed City, MI
- NPI 1437259843
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1275538670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 107",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496850107",
"telephone_number": "231-947-0673",
"fax_number": "801-740-2847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 6TH ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842349",
"telephone_number": "231-947-0673",
"fax_number": "801-740-2847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALATA",
"first_name": "MICHAEL",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "4301072393",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301072393",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4326511",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "MS072393",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "msalata985271@oc.providencedirect.org",
"affiliation": "N",
"address_1": "4805 NE Glisan St Ste Bg05",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972132933",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.