Individual provider Active NPI

Jesse Salmeron, MD

  • Otolaryngology Physician
  • North Miami Beach, FL
National Provider Identifier
1730146994
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME0075831 Issued in FL
Practice address
3363 NE 163Rd St Ste 505
North Miami Beach, FL 33160-4423
Phone
(305) 652-8151
Fax
(305) 651-7257
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ME0075831 FL Primary

Addresses

Primary practice location

3363 NE 163Rd St Ste 505
North Miami Beach, FL 33160-4423

Mailing address

PO Box 640885
Miami, FL 33164-0885
Phone (305) 652-8151

Other identifiers 1

IdentifierTypeStateIssuer
255800900MedicaidFL

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
I20040809000062 FL Practitioner - Otolaryngology 4183696487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Harvard Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians

Practice addresses (Care Compare)

13645 Biscayne Blvd
North Miami Beach, FL 33181-1617
Phone (305) 949-2700

160 NW 170 St
North Miami Beach, FL 33169-5521
Phone (305) 651-1100

3363 NE 163Rd St
Suite 505
North Miami Beach, FL 33160-4423

Hospital & facility affiliations

  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

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

State licenses

LicenseStateTypeSpecialty
ME0075831FLMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jesse Salmeron MD PA Otolaryngology CurrentSince Mar 1, 2007 Accepting new patients

Locations

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

16401 NW 2nd Ave
Ste 204
North Miami Beach, FL 33169
Phone (305) 652-8151

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

501 NW 179th Ave
Ste 102
Pembroke Pines, FL 33029
Phone (954) 200-7744

3363 NE 163rd St
Ste 505
Sunny Isles Beach, FL 33160
Phone (305) 652-8151

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 1

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1730146994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640885",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331640885",
            "telephone_number": "305-652-8151",
            "fax_number": "305-651-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 NE 163RD ST STE 505",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331604423",
            "telephone_number": "305-652-8151",
            "fax_number": "305-651-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMERON",
        "first_name": "JESSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME0075831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255800900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.