Active NPI
John A. Sallach, M.D.
- Cardiovascular Disease Physician
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301068052
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4821129 | Medicaid | MI |
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
Enrollment records 1
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
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
- Beaumont Hospital, Troy
- Beaumont Hospital Royal Oak
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301068052 | MI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Pine Medical Group PLC | Current | Accepting new patients | |
| Macomb Oakland Adult Medicine PC | Current | Accepting new patients | |
| Arcturus Healthcare PLC | Current | Accepting new patients | |
| Wa Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients | |
| Academic Cardiology Associates, PC | Cardiovascular Disease | Current | Accepting new patients |
| Arcturus Healthcare PLC | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Bayside Family Medicine Chesterfield PC | Past | 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.
-
- Cardiovascular Disease Physician
- Rochester Hills, MI
- NPI 1043257280
-
- Nurse Practitioner
- Jackson, MI
- NPI 1629000708
-
- Internal Medicine Physician
- Rochester Hills, MI
- NPI 1326487901
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- Family Medicine Physician
- Sterling Heights, MI
- NPI 1639105695
-
- Family Medicine Physician
- Rochester Hills, MI
- NPI 1497277099
-
- Internal Medicine Physician
- Rochester Hills, MI
- NPI 1669576120
-
- Physician Assistant
- Jackson, MI
- NPI 1538606348
Cardiovascular Disease
-
- Family Medicine Physician
- Chesterfield, MI
- NPI 1790018315
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.