NPIMap

Individual provider Active NPI

Solomon Adu-Beniako, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Southfield, MI
National Provider Identifier
1114090511
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
4301084828 Issued in MI
Practice address
20905 Greenfield Rd
Suite 608
Southfield, MI 48075-5360
Phone
(248) 951-2296
Fax
(248) 951-2315
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 4301084828 MI Primary

Addresses

Primary practice location

20905 Greenfield Rd
Suite 608
Southfield, MI 48075-5360

Mailing address

20905 Greenfield Rd Ste 608
Southfield, MI 48075-5355
Phone (248) 951-2296

Other identifiers 3

IdentifierTypeStateIssuer
5176830MedicaidMI
080F373970OtherMIBC
1106362902OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors on Call P.C. Past Accepting new patients
Home Physicians of Michigan, PC Past Accepting new patients
US Healthcare Mi, PC PastSince Mar 20, 2014 Accepting new patients
Positive Home Doctors, PC PastSince Jun 1, 2004 Accepting new patients
Home Visiting Group,Inc Past Accepting new patients
Quick Response Medical Professionals, P.C. Past Accepting new patients
Home VP Inc Past Accepting new patients
Embrace Home Physicians PLLC PastSince Nov 21, 2016 Accepting new patients

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1114090511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD STE 608",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755355",
            "telephone_number": "248-951-2296",
            "fax_number": "248-951-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD",
            "address_2": "SUITE 608",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755360",
            "telephone_number": "248-951-2296",
            "fax_number": "248-951-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADU-BENIAKO",
        "first_name": "SOLOMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MI",
            "license": "4301084828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5176830",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "080F373970",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1106362902",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.