Individual provider Active NPI

Saluja R Goldman, MD

  • Phlebology Physician
  • Jupiter, FL
National Provider Identifier
1336128107
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
ME86718 Issued in FL
Practice address
601 University Blvd
Suite 105
Jupiter, FL 33458-2788
Phone
(561) 625-9575
Fax
(561) 625-9533
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME86718 FL
Phlebology Physician 202K00000X ME86718 FL Primary

Addresses

Primary practice location

601 University Blvd
Suite 105
Jupiter, FL 33458-2788

Mailing address

601 University Blvd
Suite 105
Jupiter, FL 33458
Phone (561) 625-9575

Other identifiers 14

IdentifierTypeStateIssuer
820556723OtherCIGNA HEALTHCARE
820556723OtherPRIVATE HEALTHCARE SYSTEM
12302684OtherMULTI PLAN
57772OtherFLBCBS
7302508OtherAETNA
820556723OtherUNITED HEALTHCARE
P2775296OtherOXFORD HEALTH
21231237688OtherFLBEECH STREET
266709600MedicaidFL
P00083413OtherPALMETTO MC
015061OtherALL PPO
11306611OtherCAQH
820556723OtherHUMANA PPO
9950OtherDIMENSION HEALTH

Other names 1

  • Dr. Saluja R Varghese Professional name

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
I20120119000086 FL Practitioner - Internal Medicine 2668563156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Internal Medicine LLCGroup PAC ID 3476644311, 2 clinicians

Practice addresses (Care Compare)

601 University Blvd
Jupiter, FL 33458-2788
Phone (561) 625-9853

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal580

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME86718FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Internal Medicine LLC Phlebology CurrentSince Feb 1, 2003 Accepting new patients
Ocean Dermatology LLC Past Accepting new patients

Locations

601 University Blvd
Ste 105
Jupiter, FL 33458
Phone (561) 625-9575

2515 S State Road 7
Ste 210
Wellington, FL 33414
Phone (561) 790-4550

Interoperability endpoints

  • Direct secure messaging: salujavarghese@aimfl.allscriptsdirect.net
  • Direct secure messaging: svarghese21043@jupitermedicalcenter.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1336128107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY BLVD",
            "address_2": "SUITE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-625-9575",
            "fax_number": "561-625-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY BLVD",
            "address_2": "SUITE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582788",
            "telephone_number": "561-625-9575",
            "fax_number": "561-625-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "SALUJA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME86718",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "FL",
            "license": "ME86718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "820556723",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "820556723",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTI PLAN",
            "identifier": "12302684",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "57772",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7302508",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "820556723",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH",
            "identifier": "P2775296",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "21231237688",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266709600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO MC",
            "identifier": "P00083413",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL PPO",
            "identifier": "015061",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11306611",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PPO",
            "identifier": "820556723",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIMENSION HEALTH",
            "identifier": "9950",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALUJA",
            "last_name": "VARGHESE",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.