Individual provider Active NPI

Manuel Fernando Salazar, MD

  • Cardiovascular Disease Physician
  • St Petersburg, FL
National Provider Identifier
1710970744
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 78057 Issued in FL
Practice address
5398 Park St N
St Petersburg, FL 33709-1041
Phone
(727) 544-1441
Fax
(727) 545-8263
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME 78057 FL Primary

Addresses

Primary practice location

5398 Park St N
St Petersburg, FL 33709-1041

Mailing address

5398 Park St N
St Petersburg, FL 33709-1041
Phone (727) 544-1441

Other identifiers 1

IdentifierTypeStateIssuer
256437800MedicaidFL

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019000170 FL Practitioner - Cardiovascular Disease (Cardiology) 1850351396 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinellas Ekg Interpreters IncGroup PAC ID 4385608066, 37 clinicians
Morton Plant Health Services IncGroup PAC ID 2163336777, 88 clinicians
Bay Area Heart Center PAGroup PAC ID 7416857180, 16 clinicians

Practice addresses (Care Compare)

1200 7TH Ave N
St Anthony Hospital
St Petersburg, FL 33705-1300
Phone (727) 462-7476

2102 Trinity Oaks Blvd
Trinity, FL 34655-4409
Phone (727) 372-4000

323 Jeffords St
Clearwater, FL 33756-3825
Phone (727) 462-7000

5398 Park St N
St Petersburg, FL 33709-1041
Phone 7275441441150

601 Main St
Dunedin, FL 34698-5848
Phone (727) 733-1111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 78057FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Anthony's Professional Buildings & Services, Inc CurrentSince Dec 1, 2011 Accepting new patients
Pinellas Ekg Interpreters Inc Cardiovascular Disease CurrentSince Mar 8, 2014 Accepting new patients
Morton Plant Mease Health Services, Inc CurrentSince Sep 4, 2012 Accepting new patients
Cardiology Interpreters Inc CurrentSince Mar 15, 2010 Accepting new patients
St. Anthony's Professional Buildings & Services, Inc Current Accepting new patients
Morton Plant Mease Health Services Inc CurrentSince Sep 4, 2012 Accepting new patients
St. Anthony's Professional Buildings & Services, Inc CurrentSince Dec 1, 2011 Accepting new patients
Morton Plant Mease Health Services Inc Current Accepting new patients
Bay Area Heart Center PA Cardiovascular Disease CurrentSince Jul 1, 1999 Accepting new patients

Locations

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

200 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 544-1441

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

1201 7th Ave N
St Petersburg, FL 33705
Phone (727) 544-1441

900 Carillon Pkwy
St Petersburg, FL 33716
Phone (727) 556-2662

5398 Park St N
St Petersburg, FL 33709
Phone (727) 544-1441

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: manuel.salazar.1@15915.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15915/brand/3/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1710970744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5398 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091041",
            "telephone_number": "727-544-1441",
            "fax_number": "727-545-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5398 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091041",
            "telephone_number": "727-544-1441",
            "fax_number": "727-545-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "MANUEL",
        "middle_name": "FERNANDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 78057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256437800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.