Active NPI
Jorge A Salazar, MD
- Vascular & Interventional Radiology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 34499
- Practice address
- 1910 Nonconnah Blvd
Suite 120
Memphis, TN 38132-2113 - Phone
- (901) 866-8813
- Fax
- (901) 302-2120
- NPI assigned
- Apr 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 34499 | TN | Primary |
Addresses
Primary practice location
1910 Nonconnah Blvd
Suite 120
Memphis, TN 38132-2113
Mailing address
1407 Union Ave Ste 640
Memphis, TN 38104-3666
Phone (901) 866-8375
Other practice location 1
877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 448-4263
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3863348 | Medicaid | TN | |
| 1513303 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- 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
- Diagnostic Radiology
- Education
- University of Tennessee, HSC, College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6584 Poplar Ave
Suite 102
Memphis, TN 38138-0620
Phone (901) 519-4690
877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-8336
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 110 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Healthcare System | Current | Accepting new patients | |
| Ut Regional One Physicians Inc | Current | Accepting new patients | |
| Alliance Healthcare System, Inc | Current | Accepting new patients | |
| Alliance Healthcare System Inc | Current | Accepting new patients | |
| Ut Regional One Physicians Inc | Current | Accepting new patients | |
| Mid-South Vascular Physicians PLLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Ut Lebonheur Pediatric Specialists, Inc. | Past | Accepting new patients | |
| Radiology Services P a | Past | Accepting new patients | |
| Anesthesia Health Consultants | Past | Accepting new patients |
Locations
1430 Highway 4 E
Holly Springs, MS 38635
Phone (662) 252-1212
6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085
6584 Poplar Ave
Ste 102
Memphis, TN 38138
Phone (901) 519-4690
1407 Union Ave
Ste 200
Memphis, TN 38104
Phone (901) 866-8360
877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893
Interoperability endpoints
- jorge.salazar.mem@direct.vac.nextgenshare.com
- jorge.salazar.bol@direct.vac.nextgenshare.com
Organizations & group practices 9
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.
-
- Vascular & Interventional Radiology Physician
- Memphis, TN
- NPI 1073360061
-
- Surgery Physician
- Memphis, TN
- NPI 1093130585
-
- Rural Health Clinic/Center
- Holly Springs, MS
- NPI 1821143256
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1285042028
-
- General Acute Care Hospital
- Holly Springs, MS
- NPI 1801086574
-
- Psychiatric Hospital
- Holly Springs, MS
- NPI 1912182197
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
-
- Certified Registered Nurse Anesthetist
- Jeffersonville, IN
- NPI 1336528926
-
- Diagnostic Radiology Physician
- Ft Smith, AR
- NPI 1154301786
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1144213117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1336106681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 UNION AVE STE 640",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043666",
"telephone_number": "901-866-8375",
"fax_number": "901-302-2375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 NONCONNAH BLVD",
"address_2": "SUITE 120",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381322113",
"telephone_number": "901-866-8813",
"fax_number": "901-302-2120"
}
],
"practiceLocations": [
{
"address_1": "877 Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381032807",
"country_code": "US",
"telephone_number": "901-448-4263",
"fax_number": "901-448-1248",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALAZAR",
"first_name": "JORGE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TN",
"license": "34499",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3863348",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1513303",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.