Individual provider Active NPI

Michael Craig Solomon, M.D.

  • Urology Physician
  • Port St Lucie, FL
National Provider Identifier
1023070539
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME79256 Issued in FL
Practice address
555 Lake Whitney Place
Suite 103
Port St Lucie, FL 34986-1623
Phone
(772) 468-0042
Fax
(772) 468-0309
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME79256 FL Primary

Addresses

Primary practice location

555 Lake Whitney Place
Suite 103
Port St Lucie, FL 34986-1623

Mailing address

555 Lake Whitney Place
Suite 103
Port St Lucie, FL 34986-1623
Phone (772) 201-9854

Other identifiers 1

IdentifierTypeStateIssuer
265785600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031229000615 FL Practitioner - Urology 3072411024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of New York Downstate Medical Center, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10000 Swinnovation Way
Port Saint Lucie, FL 34987-2111
Phone (772) 345-8100

555 NW Lake Whitney Place
Suite 103
Port Saint Lucie, FL 34986-1623

Hospital & facility affiliations

  • Anchor Health Homecare Services, LLC Home health agency, Boca Raton, FL, CCN 687311
  • Pinnacle Home Care Home health agency, Port Saint Lucie, FL, CCN 109610
  • Elite Home Health Group Inc Home health agency, Boca Raton, FL, CCN 109710
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Specialists of St Lucie Current Accepting new patients
Michael C. Solomon, Mdpa Urology CurrentSince Aug 1, 2003 Accepting new patients

Locations

4638 S 25th St
Fort Pierce, FL 34981
Phone (772) 337-6610

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

411 W Indiantown Rd
Jupiter, FL 33458
Phone (561) 746-7826

10000 SW Innovation Way
Port St Lucie, FL 34987
Phone (772) 288-5853

555 NW Lake Whitney Pl
Ste 103
Port St Lucie, FL 34986
Phone (772) 468-0042

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1023070539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 LAKE WHITNEY PLACE",
            "address_2": "SUITE 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861623",
            "telephone_number": "772-201-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 LAKE WHITNEY PLACE",
            "address_2": "SUITE 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861623",
            "telephone_number": "772-468-0042",
            "fax_number": "772-468-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "MICHAEL",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME79256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265785600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.