Active NPI
Juan Sebastian Salazar, MD
- Internal Medicine Physician
- Hampton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101272292
- Practice address
- 4001 Coliseum Dr Ste 300
Hampton, VA 23666-6257 - Phone
- (757) 827-2025
- Fax
- (757) 275-9802
- NPI assigned
- Apr 23, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101272292 | VA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
4001 Coliseum Dr Ste 300
Hampton, VA 23666-6257
Mailing address
4001 Coliseum Dr Ste 300
Hampton, VA 23666-6257
Phone (757) 827-2025
Other practice location 1
4422 3rd Ave Bldg 3
Bronx, NY 10457-2545
Phone (718) 960-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4001 Coliseum Dr
Suite 300
Hampton, VA 23666-6257
Phone (757) 827-2025
Hospital & facility affiliations
- Sentara Home Care Services
- Amedisys Home Health of Newport News
- Commonwealth Home Care
- Sentara Careplex Hospital
- Riverside Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Internal Medicine | Current | Accepting new patients |
Locations
4001 Coliseum Dr
Ste 300
Hampton, VA 23666
Phone (757) 827-2025
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
Interoperability endpoints
- juan.salazar.1@18107.direct.athenahealth.com
- jsalazar680843@direct.sentara.net
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.
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hampton, VA
- NPI 1578511242
-
- Home Health Agency
- Chesapeake, VA
- NPI 1386277648
-
- General Acute Care Hospital
- Newport News, VA
- NPI 1366547747
-
- Home Health Agency
- Newport News, VA
- NPI 1316987704
-
- General Acute Care Hospital
- Hampton, VA
- NPI 1336109107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1457849754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 COLISEUM DR STE 300",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236666257",
"telephone_number": "757-827-2025",
"fax_number": "757-275-9802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 COLISEUM DR STE 300",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236666257",
"telephone_number": "757-827-2025",
"fax_number": "757-275-9802"
}
],
"practiceLocations": [
{
"address_1": "4422 3rd Ave Bldg 3",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104572545",
"country_code": "US",
"telephone_number": "718-960-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALAZAR",
"first_name": "JUAN",
"middle_name": "SEBASTIAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-23",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101272292",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.