Individual provider Active NPI

Joseph Bolanan Salenga, M.D.

  • Hospitalist Physician
  • Jacksonville, FL
National Provider Identifier
1689819534
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME114390 Issued in FL
Practice address
8773 Perimeter Park CT
Jacksonville, FL 32216-1165
Phone
(904) 493-3390
Fax
(904) 493-3395
NPI assigned
Dec 6, 2008
Last updated
Aug 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 261577 NY
Internal Medicine Physician 207R00000X ME114390 FL
Hospitalist Physician 208M00000X ME114390 FL Primary

Addresses

Primary practice location

8773 Perimeter Park CT
Jacksonville, FL 32216-1165

Mailing address

8773 Perimeter Park CT
Jacksonville, FL 32216-1165
Phone (904) 493-3390

Other identifiers 9

IdentifierTypeStateIssuer
45681OtherFLMEDICARE - GROUP
363224OtherFLAVMED
GY389ZOtherFLMEDICARE - INDIVIDUAL
14P3SOtherFLFLORIDA BLUE
2610299-00OtherFLMEDICAID GROUP
P01202783OtherFLRR MEDICARE
0083955-00MedicaidFL
003174381AOtherGAGEORGIA MEDICAID
786594OtherFLWELLCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130220000159 FL Practitioner - HospitalistPractitioner - Internal Medicine 1456406164 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacksonville Hospitalists PAGroup PAC ID 3274591631, 19 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32217
Phone (904) 493-3390

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
261577NYMDInternal Medicine Physician
ME114390FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine Current Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Symphony Specialty Group, LLC CurrentSince Jul 17, 2023 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Jacksonville Hospitalists PA Internal Medicine CurrentSince Feb 20, 2013 Accepting new patients
Memorial Healthcare Group Inc Past Accepting new patients

Locations

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

8613 Old Kings Rd S
Ste 602
Jacksonville, FL 32217
Phone (904) 493-3390

8773 Perimeter Park Ct
Jacksonville, FL 32216
Phone (904) 493-3390

1350 13th Ave S
Jax Bch, FL 32250
Phone (904) 247-2900

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

Interoperability endpoints

  • Direct secure messaging: jacksonvillehospitalistspa.josephsalenga@136822.advancedmd-direct.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1228521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1689819534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8773 PERIMETER PARK CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161165",
            "telephone_number": "904-493-3390",
            "fax_number": "904-493-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8773 PERIMETER PARK CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161165",
            "telephone_number": "904-493-3390",
            "fax_number": "904-493-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALENGA",
        "first_name": "JOSEPH",
        "middle_name": "BOLANAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-06",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "261577",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME114390",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME114390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - GROUP",
            "identifier": "45681",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "363224",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - INDIVIDUAL",
            "identifier": "GY389Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "14P3S",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "2610299-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01202783",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0083955-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA MEDICAID",
            "identifier": "003174381A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "786594",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.