Active NPI
Dinara Salitsky, NURSE PRACTITIONER
- Primary Care Nurse Practitioner
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- RN2297223
- Practice address
- 1049 Main St
Springfield, MA 01103-2114 - Phone
- (413) 739-1100
- Fax
- (413) 735-1133
- NPI assigned
- Jul 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2297223 | MA | |
| Primary Care Nurse Practitioner | 363LP2300X | RN2297223 | MA | Primary |
Addresses
Primary practice location
1049 Main St
Springfield, MA 01103-2114
Mailing address
1049 Main St
Springfield, MA 01103-2114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
366 Shrewsbury St
Worcester, MA 01604-4647
Phone (508) 595-2700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2297223 | MA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Single Specialty | Current | Accepting new patients |
Locations
460 Southbridge St
Auburn, MA 01501
Phone (508) 595-2700
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
5 Neponset St
Fl 12
Worcester, MA 01606
Phone (508) 852-6175
366 Shrewsbury St
Worcester, MA 01604
Phone (508) 595-2700
Interoperability endpoints
- dsalitsky372062@direct.ochin.org
Organizations & group practices 1
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": "1594080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1366060360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1049 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011032114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011032114",
"telephone_number": "413-739-1100",
"fax_number": "413-735-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALITSKY",
"first_name": "DINARA",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-07",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2297223",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": "MA",
"license": "RN2297223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.