ANDRES SALAZAR P A
NPI 1811041528
Family Medicine - Geriatric Medicine in Ellicott City, MD
About Andres Salazar P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDRES SALAZAR P A (NPI 1811041528) is a healthcare organization registered as a geriatric medicine in Ellicott City, Maryland and active in the NPI registry since January 2007. The organization lists Andres Salazar, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andres Salazar P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Andres Salazar P A, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Andres Salazar P A's NPI number?
The NPI number for Andres Salazar P A is 1811041528. It was assigned to this organization in the NPPES registry on January 22, 2007.
Where is Andres Salazar P A located?
Andres Salazar P A is located at 3621 Ligon Rd, Ellicott City, MD 21042. The listed phone number is (410) 530-0454.
What is Andres Salazar P A's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.
Is Andres Salazar P A enrolled in Medicare?
Yes. Andres Salazar P A is registered in the Medicare PECOS enrollment system.
When is Andres Salazar P A's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maryland, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Andres Salazar P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Andres Salazar P A, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Andres Salazar P A was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Andres Salazar P A · NPI 1811041528
Geriatric Medicine organization in Ellicott City, Maryland. Organization record, active in the CMS NPPES registry since January 22, 2007.
## Identity
- **NPI:** 1811041528 (Entity type: Organization)
- **Enumerated:** January 22, 2007
- **Primary specialty:** Family Medicine - Geriatric Medicine · taxonomy 207QG0300X
- **Organization subpart:** No
- **Authorized official:** Andres Salazar, PRESIDENT
## Practice location
- **Address:** 3621 LIGON RD, Ellicott City, MD 21042-5238
- **Phone:** (410) 530-0454
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Maryland, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1811041528) · Data from the CMS NPPES public registry.