Active NPI
Reina O Salazar, MD
- Allergy & Immunology Physician
- Saint Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 4301406855
- Practice address
- 23501 Jefferson Ave
Saint Clair Shores, MI 48080-1968 - Phone
- (586) 863-5030
- Fax
- (586) 209-3750
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Allergy/Immunology Physician | 2080P0201X | 4301406855 | MI | |
| Allergy & Immunology Physician | 207K00000X | 4301406855 | MI | Primary |
Addresses
Primary practice location
23501 Jefferson Ave
Saint Clair Shores, MI 48080-1968
Mailing address
21300 Kelly Road
Eastpointe, MI 48021
Phone (586) 447-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of Michigan Medical School, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
23501 Jefferson Ave
Saint Clair Shores, MI 48080-1968
Phone (586) 863-5030
42633 Garfield Rd
Suite 319
Clinton Township, MI 48038-5033
Phone (586) 863-5030
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Allergy & Immunology Physician
- Saint Clair Shores, MI
- NPI 1326576570
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1649355918
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1962588681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21300 KELLY ROAD",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "48021",
"telephone_number": "586-447-4200",
"fax_number": "586-447-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23501 JEFFERSON AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801968",
"telephone_number": "586-863-5030",
"fax_number": "586-209-3750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "REINA",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "MI",
"license": "4301406855",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MI",
"license": "4301406855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.