Individual provider Active NPI

Julius Salazar Sitjar, MD

  • Internal Medicine Physician
  • Rochester, IN
National Provider Identifier
1760583355
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01036012 Issued in IN
Practice address
2671 Ft Wayne Rd
Rochester, IN 46975
Phone
(574) 223-3627
Fax
(574) 223-6337
NPI assigned
Sep 26, 2006
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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 01036012A IN
Internal Medicine Physician 207R00000X 01036012 IN Primary

Addresses

Primary practice location

2671 Ft Wayne Rd
Rochester, IN 46975

Mailing address

2671 Ft Wayne Rd
Rochester, IN 46975
Phone (574) 223-4141

Other identifiers 1

IdentifierTypeStateIssuer
1001184804MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 8, 2023 through May 8, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01036012INMDInternal Medicine Physician
01036012AINMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1760583355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 FT WAYNE RD",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "46975",
            "telephone_number": "574-223-4141",
            "fax_number": "574-223-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 FT WAYNE RD",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "46975",
            "telephone_number": "574-223-3627",
            "fax_number": "574-223-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITJAR",
        "first_name": "JULIUS",
        "middle_name": "SALAZAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01036012A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01036012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001184804",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, IN

Sources for this page

Verify at the official NPI Registry.