Roberto B Salva-Otero, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

209896 Issued in MA

Practice address

2085 Riverdale St
West Springfield, MA 01089-1025

Phone

(413) 650-7546

Fax

(717) 674-4274

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Family PracticeAlso: Addiction Medicine

Education

University of Puerto Rico School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Total Wellness Centers LLCGroup PAC ID 2860536919, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Total Wellness Centers, LLC

  dba CleanSlate Centers

  • Addiction Medicine (Internal Medicine) Physician
  • West Springfield, MA
  • NPI 1770816506
  Medicare reassignment Care Compare group
• Roberto B. Salva-Otero, MD, LLC

  • Internal Medicine Physician
  • West Springfield, MA
  • NPI 1457476319
  Authorized official Same address or phone
• Baystate Medical Practices, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Springfield, MA
  • NPI 1548205909

  Internal Medicine

  NPD (past)
• Hampden County Physician Associates, LLC

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1992794770
  NPD (past)
• Hampden County Physician Associates, LLC.

  • Sleep Medicine (Internal Medicine) Physician
  • Southwick, MA
  • NPI 1548567696
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1821173311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 RIVERDALE ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891025",
            "telephone_number": "413-650-7546",
            "fax_number": "413-650-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 RIVERDALE ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891025",
            "telephone_number": "413-650-7546",
            "fax_number": "717-674-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVA-OTERO",
        "first_name": "ROBERTO",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "209896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0153869",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Salem Jr., D.P.M.
• Robert Michael Salem, D.M.D.
• Samantha Marie Salem
• Cassandra Leah Salinardi, M.ED., LMHC
• Brian Layton Saltzman, D.M.D.
• Elodie Leona Sammarco, B.S. ED
• Jessica Paola Sanchez
• Kristine Sanders-Ayinde, RN
• Kiana Flora Santaniello
• Lorimar Santiago, BCBA

• Internal Medicine Physician in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.