Individual provider Active NPI

Charles Andrew Salzberg, MD

  • Dermatology Physician
  • Vero Beach, FL
National Provider Identifier
1497711972
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME153436 Issued in FL
Practice address
3555 10TH CT
Vero Beach, FL 32960-5013
Phone
(772) 463-2010
Fax
(772) 945-6267
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME153436 FL
Dermatology Physician 207N00000X ME153436 FL Primary

Addresses

Primary practice location

3555 10TH CT
Vero Beach, FL 32960-5013

Mailing address

1000 36TH St
Vero Beach, FL 32960-4862
Phone (772) 463-2010

Other identifiers 1

IdentifierTypeStateIssuer
112695300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051223000090 NY Practitioner - Plastic and Reconstructive Surgery 4587686183 Reassigns benefits to 1 organization
I20211207000419 FL Practitioner - Plastic and Reconstructive Surgery 4587686183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Florida College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians
Divani Dermatology LLCGroup PAC ID 2961733803, 13 clinicians

Practice addresses (Care Compare)

3555 10TH CT
Suite 200a
Vero Beach, FL 32960-5013
Phone (772) 563-4673

8745 N US Hwy 1
Sebastian, FL 32958-7524
Phone (772) 217-5362

Merit-based Incentive Payment System (MIPS)

Final score
92.95 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
76.5

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision260
Removal of skin lesions13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Divani Dermatology LLC Dermatology CurrentSince Jan 1, 2024 Accepting new patients
Indian River Health Services Inc CurrentSince Jan 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2015 Accepting new patients
Indian River Health Services Inc CurrentSince Jan 1, 2022 Accepting new patients
Indian River Health Services Inc Past Accepting new patients
KKS Medical Services, PC Plastic and Reconstructive Surgery PastSince Jan 13, 2011 Accepting new patients

Locations

311 Barefoot Blvd
Ste 1
Barefoot Bay, FL 32976
Phone (772) 217-5362

2571 W Eau Gallie Blvd
Ste 2
Melbourne, FL 32935
Phone (321) 777-9091

8745 N US Highway 1
Sebastian, FL 32958
Phone (772) 217-5362

4800 20th St
Vero Beach, FL 32966
Phone (772) 217-5362

3555 10th Ct
Ste 200A
Vero Beach, FL 32960
Phone (772) 226-4800

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

155 White Plains Rd
Ste 105
Tarrytown, NY 10591
Phone (914) 366-6139

155 White Plains Rd
Ste 109
Tarrytown, NY 10591
Phone (914) 366-6139

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: charles.salzberg@direct.hvhc.org

Organizations & group practices 7

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1497711972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 36TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604862",
            "telephone_number": "772-463-2010",
            "fax_number": "772-945-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 10TH CT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605013",
            "telephone_number": "772-463-2010",
            "fax_number": "772-945-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALZBERG",
        "first_name": "CHARLES",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME153436",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME153436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112695300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.