DR. GUILLERMO E. SALAZAR (M.D.) – Pediatrics Physician, NPI 1417930678

DR. GUILLERMO E. SALAZAR (M.D.) is a healthcare provider. based in Odessa, Florida. specializing in PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME78930 (FL). The NPI Number for DR. GUILLERMO E. SALAZAR (M.D.) is 1417930678

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. GUILLERMO E. SALAZAR (M.D.)
NPI
1417930678
Phone
(813) 926-5218
Address
15417 SIR MAXWELL CT
Enumeration Date
22 November 2005
Last Update Date
26 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
7113949678
Professional Enrollment ID
I20260326003853
Address ID
LA705083844LA200XXBLVD300

Contacts

Secure Messaging
gsalazar11906@MHSDIRECT.NET
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,309 PEDIATRIC MEDICINE in FL

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Provider Addresses for DR. GUILLERMO E. SALAZAR (M.D.)

  • 15417 SIR MAXWELL CT

    ODESSA, FL 335565723

    Phone: (813) 926-5218

    Fax: (727) 461-1692

    Type: Mailing

  • 1020, Lakeview Road, Clearwater, Pinellas County, Florida, 33756, United States

    CLEARWATER, FL 337563423

    Phone: (727) 461-1439

    Fax: (727) 461-1692

    Type: Location

  • 617 NE 8TH AVE UNIT 1

    FORT LAUDERDALE, FL 333044658

    Phone: (813) 766-5937

    Type: Mailing

  • 3501 JOHNSON ST

    HOLLYWOOD, FL 330215421

    Phone: (954) 265-3482

    Fax: (727) 461-1692

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051227000390IEmergency MedicineFLTBD
I20250703000705IPediatric MedicineLATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33556)

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Reviews

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Frequently asked questions

Can I cross-check DR. GUILLERMO E. SALAZAR (M.D.) using NPI 1417930678?
NPI 1417930678 belongs to DR. GUILLERMO E. SALAZAR (M.D.); compare other details if you need extra assurance.
Active or inactive — what applies to DR. GUILLERMO E. SALAZAR (M.D.)?
You should see DR. GUILLERMO E. SALAZAR (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe DR. GUILLERMO E. SALAZAR (M.D.)'s focus?
For DR. GUILLERMO E. SALAZAR (M.D.), the primary taxonomy reads as Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. GUILLERMO E. SALAZAR (M.D.)?
Directory geography for DR. GUILLERMO E. SALAZAR (M.D.) centers on Odessa, Florida.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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