Individual provider Active NPI

John A. Sallach, M.D.

  • Cardiovascular Disease Physician
  • Rochester Hills, MI
National Provider Identifier
1457437469
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301068052 Issued in MI
Practice address
1701 South Boulevard E
Suite 390
Rochester Hills, MI 48307-6117
Phone
(248) 293-0055
Fax
(248) 293-3348
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301068052 MI Primary

Addresses

Primary practice location

1701 South Boulevard E
Suite 390
Rochester Hills, MI 48307-6117

Mailing address

1701 South Boulevard E
Suite 390
Rochester Hills, MI 48307-6117
Phone (248) 293-0055

Other identifiers 1

IdentifierTypeStateIssuer
4821129MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060126000148 MI Practitioner - Cardiovascular Disease (Cardiology) 3476515222 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W. a. Foote Memorial Hospital, Inc.Group PAC ID 0244136067, 476 clinicians
Academic Cardiology Associates, PCGroup PAC ID 8224923180, 9 clinicians

Practice addresses (Care Compare)

1201 E Michigan Ave
Jackson, MI 49201-1855

12369 E Michigan Ave
Henry Ford Allegiance Family Medicine Grass
Grass Lake, MI 49240-9213
Phone (517) 205-2525

1401 W N St
Jackson, MI 49202-3135

153 Wampiers Lake Rd
Henry Ford Allegiance Family Medicine Brook
Brooklyn, MI 49230-9585
Phone (517) 205-2105

1701 S Blvd E
Suite 390
Rochester Hills, MI 48307-6117
Phone (248) 293-0055

205 N E Ave
Jackson, MI 49201-1753

400 Hinckley Blvd
Suite 100
Jackson, MI 49203-6152
Phone (517) 205-8991

Hospital & facility affiliations

  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301068052MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Pine Medical Group PLC CurrentSince Jun 1, 2016 Accepting new patients
Macomb Oakland Adult Medicine PC Current Accepting new patients
Arcturus Healthcare PLC CurrentSince Jan 1, 2014 Accepting new patients
Wa Foote Memorial Hospital, Inc Current Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Mar 24, 2018 Accepting new patients
Academic Cardiology Associates, PC Cardiovascular Disease CurrentSince Jul 20, 2009 Accepting new patients
Arcturus Healthcare PLC CurrentSince Jan 1, 2014 Accepting new patients
W.a. Foote Memorial Hospital, Inc Cardiovascular Disease CurrentSince Jun 1, 2025 Accepting new patients
Bayside Family Medicine Chesterfield PC PastSince Oct 6, 2009 Accepting new patients

Locations

1500 E Medical Center Dr
Fl 3
Ann Arbor, MI 48109
Phone (734) 647-5944

31225 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 598-2900

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

48801 Romeo Plank Rd
Ste 103
Macomb, MI 48044

48801 Romeo Plank Rd
Macomb, MI 48044
Phone (248) 689-1000

15959 Hall Rd
Ste 110
Macomb, MI 48044

1701 South Blvd E
Ste 390
Rochester Hills, MI 48307
Phone (248) 293-0055

1701 South Blvd E
Ste 290
Rochester Hills, MI 48307
Phone (248) 997-7000

1701 South Blvd E
Ste 240
Rochester Hills, MI 48307
Phone (248) 997-7000

3601 W 13 Mile Rd
Royal Oak, MI 48073

4949 Coolidge Hwy
Royal Oak, MI 48073
Phone (248) 655-5660

43455 Schoenherr Rd
Ste 2
Sterling Hts, MI 48313
Phone (586) 884-2712

57850 Van Dyke Rd
Ste 100
Washington Twp, MI 48094
Phone (586) 203-2020

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 4

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1457437469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BOULEVARD E",
            "address_2": "SUITE 390",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076117",
            "telephone_number": "248-293-0055",
            "fax_number": "248-293-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BOULEVARD E",
            "address_2": "SUITE 390",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076117",
            "telephone_number": "248-293-0055",
            "fax_number": "248-293-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLACH",
        "first_name": "JOHN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301068052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4821129",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.