Individual provider Active NPI

Daniel Solomon, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1053946756
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
238847 Issued in AZ
Practice address
1700 E River Rd Unit 65177
Tucson, AZ 85728-3049
Phone
(520) 668-4978
NPI assigned
Mar 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 238847 AZ Primary

Addresses

Primary practice location

1700 E River Rd Unit 65177
Tucson, AZ 85728-3049

Mailing address

1700 E River Rd Unit 65177
Tucson, AZ 85728-3049
Phone (520) 668-4978

Other practice location 1

9911 N Crook Ln
Tucson, AZ 85742-8653
Phone (520) 668-4978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200617002297 AZ Practitioner - Nurse Practitioner 9133541394 Reassigns benefits to 1 organization
Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways Medical PartnersGroup PAC ID 0749560647, 10 clinicians

Practice addresses (Care Compare)

1700 E River Rd
Suite 65177
Tucson, AZ 85728-3049
Phone (520) 635-9103

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.68 of 100Reported as group
Quality
100
Improvement activities
40
Cost
69.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
238847AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Medical Partners CurrentSince May 1, 2020 Accepting new patients
Azure Medical Group LLC Current Accepting new patients
Catalina Hospice PLLC PastSince Sep 20, 2020 Accepting new patients

Locations

1700 E River Rd
Unit 65177
Tucson, AZ 85728
Phone (520) 635-9103

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

Organizations & group practices 3

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 1

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": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1053946756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E RIVER RD UNIT 65177",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857283049",
            "telephone_number": "520-668-4978",
            "fax_number": "520-336-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E RIVER RD UNIT 65177",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857283049",
            "telephone_number": "520-668-4978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9911 N Crook Ln",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857428653",
            "country_code": "US",
            "telephone_number": "520-668-4978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "DANIEL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-10-02",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "238847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.