Solomon B Demby

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11498-33 Issued in WI

Practice address

7500 W North Ave
Wauwatosa, WI 53213-1717

Phone

(414) 258-6170

NPI assigned

Nov 2, 2021

Last updated

Nov 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cary J Kohlenberg MD SCGroup PAC ID 9537140611, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

35.83 of 100Reported as group

Quality

9.6

Promoting interoperability

0

Improvement activities

0

Cost

76.51

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cary J Kohlenberg MD SC

  dba Independent Psychiatric Consultants Mental Health Center

  • Psychiatry Physician
  • Waukesha, WI
  • NPI 1952487506
  Medicare reassignment Care Compare group NPD
• BCS of Wisconsin S.C.

  • Psychiatry Physician
  • Waukesha, WI
  • NPI 1629579149
  Medicare reassignment

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1114682424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 N LOVERS LANE RD APT 3",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532253045",
            "telephone_number": "414-499-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131717",
            "telephone_number": "414-258-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMBY",
        "first_name": "SOLOMON",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "11498-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley N Dejaco, PT, DPT
• James M Del Balso, DDS
• Lynn Delahan, MSW
• Amy Dell, LPC
• Kenneth Dell Dembny II, M.D.
• Bernadette Demuri, M.D.
• Dental Associates LTD of Wisconsin
• Dental Castle Inc
• Jessica Marie Denton, APNP
• Dermatology Services, SC

• Psychiatric/Mental Health Nurse Practitioner in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.