Individual provider Active NPI

Mohammed Solaiman, MD

  • Family Medicine Physician
  • Saint Peter, MN
National Provider Identifier
1174507149
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41243 Issued in MN
Practice address
1900 Sunrise Dr Ste 200
Saint Peter, MN 56082-5385
Phone
(507) 931-2110
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41243 MN Primary

Addresses

Primary practice location

1900 Sunrise Dr Ste 200
Saint Peter, MN 56082-5385

Mailing address

1900 Sunrise Dr Ste 200
Saint Peter, MN 56082-5385
Phone (507) 931-2110

Other practice location 1

622 Sunrise Dr
St Peter, MN 56082-1201
Phone (507) 931-2110

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msolaiman90780@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20080616000521 MN Practitioner - Family Practice 7810068012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mayo Clinic Health System-Southwest Minnesota RegionGroup PAC ID 4688585771, 658 clinicians

Practice addresses (Care Compare)

101 Martin Luther King Dr
Jr
Mankato, MN 56001-6460
Phone (507) 385-6500

1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031

Hospital & facility affiliations

  • Good Samaritan Society Home Care St Peter Home health agency, Saint Peter, MN, CCN 248084
  • Adara Home Health Inc Home health agency, Buffalo, MN, CCN 248056
  • Ecumen Home Care-Pathstone Home health agency, Mankato, MN, CCN 247224
  • STCH South Central MN Opco LLC Hospice, Mankato, MN, CCN 241503
  • Mayo Clinic Health System - Mankato Hospital, Mankato, MN, CCN 240093
  • River'S Edge Hospital & Clinic Hospital, St Peter, MN, CCN 241334
  • Mayo Clinic Health System New Prague Hospital, New Prague, MN, CCN 241361
  • Mayo Clinic Health System - Waseca Hospital, Waseca, MN, CCN 241345
  • Mayo Clinic Health System - Fairmont Hospital, Fairmont, MN, CCN 240166

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions18
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41243MNMDFamily Medicine Physician
7910MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Oct 14, 2002 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Oct 14, 2002 Accepting new patients
Mankato Clinic LTD Family Medicine Past Accepting new patients

Locations

444 N Cordova Ave
Le Center, MN 56057
Phone (507) 357-2275

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

1900 Sunrise Dr
Saint Peter, MN 56082
Phone (507) 931-2200

1900 Sunrise Dr
Ste 200
Saint Peter, MN 56082
Phone (507) 665-6299

622 Sunrise Dr
Saint Peter, MN 56082
Phone (507) 931-2110

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 9

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1174507149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SUNRISE DR STE 200",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560825385",
            "telephone_number": "507-931-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SUNRISE DR STE 200",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560825385",
            "telephone_number": "507-931-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 Sunrise Dr",
            "address_purpose": "LOCATION",
            "city": "St Peter",
            "state": "MN",
            "postal_code": "560821201",
            "country_code": "US",
            "telephone_number": "507-931-2110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLAIMAN",
        "first_name": "MOHAMMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "41243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msolaiman90780@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "1900 Sunrise Dr Ste 200",
            "city": "Saint Peter",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560825385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Peter, MN

Sources for this page

Verify at the official NPI Registry.