NPIMap

Individual provider Active NPI

John Selim Soliman, D.O.

  • Neurological Surgery Physician
  • Palm Harbor, FL
National Provider Identifier
1093044216
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
OS12088 Issued in FL
Practice address
3519 Palm Harbor Blvd Ste B
Palm Harbor, FL 34683-1416
Phone
(813) 336-4461
Fax
(813) 336-4466
NPI assigned
Dec 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 125053281 IL
Neurological Surgery Physician 207T00000X OS12088 FL Primary

Addresses

Primary practice location

3519 Palm Harbor Blvd Ste B
Palm Harbor, FL 34683-1416

Mailing address

3519 Palm Harbor Blvd Ste B
Palm Harbor, FL 34683-1416
Phone (813) 336-4461

Other identifiers 1

IdentifierTypeStateIssuer
OS12088OtherFLFLORIDA LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130617000371 FL Practitioner - Neurosurgery 3173762424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

3519 Palm Harbor Blvd
Suite B
Palm Harbor, FL 34683-1416
Phone (813) 336-4461

5347 Main St
Suite 202
New Port Richey, FL 34652-2520
Phone (727) 841-0515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion115
Laminectomy or laminotomy (partial removal of spine bones)33
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125053281ILMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brain and Spine Neuroscience Institute, LLC Neurological Surgery Past Accepting new patients
Brain and Spine Neuroscience Institute, LLC Neurological Surgery PastSince Mar 4, 2016 Accepting new patients
Brain and Spine Neuroscience Institute, LLC Past Accepting new patients
Brain and Spine Neuroscience Institute, LLC Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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 7

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": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1093044216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 PALM HARBOR BLVD STE B",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831416",
            "telephone_number": "813-336-4461",
            "fax_number": "813-336-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 PALM HARBOR BLVD STE B",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831416",
            "telephone_number": "813-336-4461",
            "fax_number": "813-336-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIMAN",
        "first_name": "JOHN",
        "middle_name": "SELIM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-17",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "125053281",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "OS12088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "OS12088",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.