DR. EDGAR LEONARDO MARTINEZ SALAZAR (MD) – Diagnostic Radiology Physician, NPI 1083104434

DR. EDGAR LEONARDO MARTINEZ SALAZAR (MD) is a healthcare provider. based in Somerville, Massachusetts. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 276300 (MA). The NPI Number for DR. EDGAR LEONARDO MARTINEZ SALAZAR (MD) is 1083104434

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDGAR LEONARDO MARTINEZ SALAZAR (MD)
NPI
1083104434
Phone
(857) 452-0198
Address
20 MICHIGAN AVE
Enumeration Date
11 May 2018
Last Update Date
19 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
9537495619
Group Practice PAC ID
4486567104
Professional Enrollment ID
I20240812002002
Address ID
MA024201402LE482XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,897 DIAGNOSTIC RADIOLOGY in MA

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Provider Addresses for DR. EDGAR LEONARDO MARTINEZ SALAZAR (MD)

  • 18;20, Michigan Avenue, East Somerville, Somerville, Middlesex County, Massachusetts, 02145-1109, United States

    SOMERVILLE, MA 021452228

    Phone: (857) 452-0198

    Type: Mailing

  • 20 PARMENTER ST APT 301

    BOSTON, MA 021132356

    Phone: (857) 452-0198

    Type: Mailing

  • 330 BROOKLINE AVE # ES-215

    BOSTON, MA 022155491

    Phone: (617) 667-3210

    Fax: (617) 667-2092

    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: 2024-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240812002002IDiagnostic RadiologyMATBD

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

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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 02145)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486567104View full group profile

Reviews

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Frequently asked questions

How do I look up DR. EDGAR LEONARDO MARTINEZ SALAZAR (MD) by NPI?
Use NPI 1083104434 when you need to reference DR. EDGAR LEONARDO MARTINEZ SALAZAR (MD) in forms, claims, or directories.
Is DR. EDGAR LEONARDO MARTINEZ SALAZAR (MD) active in the national directory?
DR. EDGAR LEONARDO MARTINEZ SALAZAR (MD)'s public NPI profile is in an active state.
Does DR. EDGAR LEONARDO MARTINEZ SALAZAR (MD) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for DR. EDGAR LEONARDO MARTINEZ SALAZAR (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. EDGAR LEONARDO MARTINEZ SALAZAR (MD)?
The page summarizes Somerville, Massachusetts for DR. EDGAR LEONARDO MARTINEZ SALAZAR (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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