Individual provider Active NPI

Brian Harris Saluck, DO

  • Interventional Cardiology Physician
  • The Villages, FL
National Provider Identifier
1295796902
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
OS11546 Issued in FL
Practice address
910 Old Camp Rd
Building 210
The Villages, FL 32162-5604
Phone
(352) 751-3356
Fax
(352) 751-3359
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X OS010773L PA
Interventional Cardiology Physician 207RI0011X OS11546 FL Primary

Addresses

Primary practice location

910 Old Camp Rd
Building 210
The Villages, FL 32162-5604

Mailing address

308 W Highland Blvd
Inverness, FL 34452-4716
Phone (352) 726-8353

Other practice location 1

801 E Dixie Ave Ste 107
Leesburg, FL 34748-7601
Phone (352) 315-0627

Other practice location 2

5575 E Sr 44
Wildwood, FL 34785-8282
Phone (352) 571-4418

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
I20120208000874 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1456252816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Lake Erie College of Osteopathic Medicine, Erie, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citrus Cardiology Consultants, PLLCGroup PAC ID 6103710835, 48 clinicians

Practice addresses (Care Compare)

910 Old Camp Rd
Suite 210
The Villages, FL 32162-5605
Phone (352) 751-3356

Hospital & facility affiliations

  • Pinnacle Home Care of the Villages Inc Home health agency, The Villages, FL, CCN 109702
  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290
  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting108
Pacemaker insertion or repair46
Varicose vein removal1-10
Leg revascularization (restoring blood flow)16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS11546FLMDInterventional Cardiology Physician
OS010773LPAMDInterventional Cardiology Physician

Practice roles (4 of 6)

OrganizationSpecialtyStatusNew patients
Lakewood CCL, LLC CurrentSince Oct 28, 2019 Accepting new patients
Citrus Cardiology Consultants, PLLC CurrentSince Feb 1, 2012 Accepting new patients
Citrus Cardiology Consultants, PLLC Interventional Cardiology CurrentSince Feb 1, 2012 Accepting new patients
Aria Health Physician Services Past Accepting new patients

Locations

308 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-8353

801 E Dixie Ave
Ste 107
Leesburg, FL 34748
Phone (352) 315-0627

910 Old Camp Rd
Ste 210
The Villages, FL 32162
Phone (352) 530-2256

5571 E Sr 44
Ste 502
Wildwood, FL 34785
Phone (352) 643-9070

5575 E State Road 44
Wildwood, FL 34785
Phone (352) 571-4418

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: bsaluck566147@direct.shands.ufl.edu
  • Direct secure messaging: brian.saluck.1@26900.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EHGIAD

Organizations & group practices 4

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 6

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1295796902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W HIGHLAND BLVD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524716",
            "telephone_number": "352-726-8353",
            "fax_number": "352-726-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD",
            "address_2": "BUILDING 210",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625604",
            "telephone_number": "352-751-3356",
            "fax_number": "352-751-3359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E Dixie Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347487601",
            "country_code": "US",
            "telephone_number": "352-315-0627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5575 E SR 44",
            "address_purpose": "LOCATION",
            "city": "Wildwood",
            "state": "FL",
            "postal_code": "347858282",
            "country_code": "US",
            "telephone_number": "352-571-4418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALUCK",
        "first_name": "BRIAN",
        "middle_name": "HARRIS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "OS010773L",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "OS11546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.