Individual provider Active NPI

Jorge A Salazar, MD

  • Vascular & Interventional Radiology Physician
  • Memphis, TN
National Provider Identifier
1336106681
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
34499 Issued in TN
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

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3863348MedicaidTN
1513303MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040911000121 TN Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7315910742 Reassigns benefits to 2 organizations
I20120503000176 MS Practitioner - Interventional Radiology 7315910742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Tennessee, HSC, College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Vascular Physicians PLLCGroup PAC ID 0840732483, 4 clinicians
Ut Regional One Physicians IncGroup PAC ID 5698993418, 314 clinicians

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

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Healthcare System CurrentSince May 1, 2025 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Dec 14, 2025 Accepting new patients
Alliance Healthcare System, Inc CurrentSince May 1, 2025 Accepting new patients
Alliance Healthcare System Inc Current Accepting new patients
Ut Regional One Physicians Inc CurrentSince Dec 14, 2025 Accepting new patients
Mid-South Vascular Physicians PLLC Vascular & Interventional Radiology CurrentSince Apr 27, 2024 Accepting new patients
Ut Lebonheur Pediatric Specialists, Inc. Past Accepting new patients
Radiology Services P a PastSince Jun 16, 2026 Accepting new patients
Anesthesia Health Consultants PastSince May 18, 2024 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

  • Direct secure messaging: jorge.salazar.mem@direct.vac.nextgenshare.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.