NICHOLAS WADE SALUPO (DO) – Nephrology Physician, NPI 1619402617

NICHOLAS WADE SALUPO (DO) is a healthcare provider. based in Dayton, Ohio. specializing in NEPHROLOGY. They hold the professional credentials DO. They hold a License No. 34.016052 (OH). The NPI Number for NICHOLAS WADE SALUPO (DO) is 1619402617

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS WADE SALUPO (DO)
NPI
1619402617
Phone
(937) 723-3200
Address
405 W Grand Ave
Enumeration Date
27 April 2017
Last Update Date
21 July 2025

Doctor Profile

Medical School Name
MARIAN UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9372223118
Graduation Year
2017 (9 years ago)
PAC ID
8729354477
Group Practice PAC ID
5193624161
Professional Enrollment ID
I20221212001605
Address ID
OH454296410KE500XXBLVD402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

547 NEPHROLOGY in OH

Provider Addresses for NICHOLAS WADE SALUPO (DO)

  • 405 W Grand Ave

    Dayton, OH 454057538

    Phone: (937) 723-3200

    Type: Location

  • Grandview Medical Center, 405, West Grand Avenue, Steeles Hill-Grafton Hill Historic District, Daytonview, Dayton, Montgomery County, Ohio, 45405, United States

    DAYTON, OH 454057538

    Phone:

    Type: Mailing

  • 1280 WELSFORD CT

    CENTERVILLE, OH 454598702

    Phone: (317) 748-0773

    Type: Mailing

  • 7700 WASHINGTON VILLAGE DR STE 230

    CENTERVILLE, OH 454594094

    Phone: (937) 438-3132

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $601.

Total Amount is formed as General ($601) + Research ($0) + Ownership ($0) = $601.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).

Total Amount

$601

General + Research + Ownership

Payments

9

Total payment records

General Amount

$601

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-12-12

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
I20221212001605INephrologyOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 45405)

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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: 5193624161View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Internal Medicine, NephrologyOH
Physician AssistantOH
Nurse PractitionerOH
Nephrology, Internal MedicineOH
N E P H R O L O G YOH
Nephrology, Internal MedicineOH
N E P H R O L O G YOH
-OH

Reviews

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Frequently asked questions

What federal number belongs to NICHOLAS WADE SALUPO (DO)?
The federal identifier for NICHOLAS WADE SALUPO (DO) is NPI 1619402617.
Is NICHOLAS WADE SALUPO (DO) currently active in the NPI registry?
CMS-published data lists NICHOLAS WADE SALUPO (DO) as an active registrant.
Can you summarize NICHOLAS WADE SALUPO (DO)'s specialty in plain language?
Clinically, the directory lists NICHOLAS WADE SALUPO (DO) with Nephrology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for NICHOLAS WADE SALUPO (DO)?
The page summarizes Dayton, Ohio for NICHOLAS WADE SALUPO (DO); 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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