Individual provider Active NPI

Marc M Soloman, MD

  • Pain Medicine (Anesthesiology) Physician
  • Goodyear, AZ
National Provider Identifier
1255522082
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
43959 Issued in AZ
Practice address
14445 W McDowell Rd Ste A104
Goodyear, AZ 85395-2518
Phone
(480) 550-9393
Fax
(480) 591-0485
NPI assigned
Aug 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 43959 AZ
Pain Medicine (Anesthesiology) Physician 207LP2900X 43959 AZ Primary

Addresses

Primary practice location

14445 W McDowell Rd Ste A104
Goodyear, AZ 85395-2518

Mailing address

14445 W McDowell Rd Ste A104
Goodyear, AZ 85395-2518
Phone (623) 232-8787

Other identifiers 2

IdentifierTypeStateIssuer
2802079MedicaidOH
624812MedicaidAZ

Other names 1

  • Dr. Marcos M Soliman Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110825000747 AZ Practitioner - AnesthesiologyPractitioner - Pain Management 6901989987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Canyon Pain and SpineGroup PAC ID 3870992647, 17 clinicians

Practice addresses (Care Compare)

14445 W McDowell Rd
Suite A104
Goodyear, AZ 85395-2518
Phone (623) 232-8787

Hospital & facility affiliations

  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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

State licenses

LicenseStateTypeSpecialty
43959AZMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Pain and Spine Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Canyon Pain and Spine Pain Medicine CurrentSince Mar 31, 2021 Accepting new patients
Clinic Physician Services Co. LLC Anesthesiology Past Accepting new patients
Ohio Anesthesia Group, Inc Anesthesiology Past Accepting new patients
Anesthesia Associates, PLL PastSince Jan 1, 2007 Accepting new patients

Locations

1425 S Higley Rd
Ste 102
Gilbert, AZ 85296
Phone (480) 329-3453

14445 W McDowell Rd
Ste A104
Goodyear, AZ 85395
Phone (480) 550-9393

14445 W McDowell Rd
Unit A
Goodyear, AZ 85395

10238 E Hampton Ave
Ste 416
Mesa, AZ 85209

4566 E Inverness Ave
Ste 108
Mesa, AZ 85206
Phone (480) 659-4811

21321 E Ocotillo Rd
Ste 125
Queen Creek, AZ 85142
Phone (480) 677-4800

13920 W Camino del Sol
Ste 8
Sun City West, AZ 85375
Phone (623) 544-6900

Interoperability endpoints

  • Direct secure messaging: marc.soloman@cpns.eclinicaldirectplus.com

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 4

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": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1255522082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14445 W MCDOWELL RD STE A104",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952518",
            "telephone_number": "623-232-8787",
            "fax_number": "623-232-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14445 W MCDOWELL RD STE A104",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952518",
            "telephone_number": "480-550-9393",
            "fax_number": "480-591-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMAN",
        "first_name": "MARC",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2021-08-04",
        "certification_date": "2021-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "43959",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "43959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2802079",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "624812",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCOS",
            "last_name": "SOLIMAN",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.