Individual provider Active NPI

Juan Sebastian Salazar, MD

  • Internal Medicine Physician
  • Hampton, VA
National Provider Identifier
1457849754
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101272292 Issued in VA
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

Updated by the provider on Oct 15, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210701001034 VA Practitioner - Internal Medicine 0547661282 Reassigns benefits to 1 organization

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
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

4001 Coliseum Dr
Suite 300
Hampton, VA 23666-6257
Phone (757) 827-2025

Hospital & facility affiliations

  • Sentara Home Care Services Home health agency, Newport News, VA, CCN 497294
  • Amedisys Home Health of Newport News Home health agency, Hampton, VA, CCN 497091
  • Commonwealth Home Care Home health agency, Portsmouth, VA, CCN 497775
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Internal Medicine CurrentSince Jul 12, 2021 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

  • Direct secure messaging: juan.salazar.1@18107.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.