Individual provider Active NPI

Clifford T Solomon, MD

  • Neurological Surgery Physician
  • Glen Burnie, MD
National Provider Identifier
1457350555
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
D0037668 Issued in MD
Practice address
301 Hospital Dr
Suite 803
Glen Burnie, MD 21061-5803
Phone
(410) 553-8160
Fax
(410) 553-8159
NPI assigned
Jul 20, 2005
Last updated
Nov 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X D0037668 MD Primary

Addresses

Primary practice location

301 Hospital Dr
Suite 803
Glen Burnie, MD 21061-5803

Mailing address

PO Box 64584
Baltimore, MD 21264-4584
Phone (410) 280-6568

Other identifiers 1

IdentifierTypeStateIssuer
752731400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040618000993 MD Practitioner - Neurosurgery 5991780637 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Drexel University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland Neurosurgery Associates P aGroup PAC ID 9133187750, 24 clinicians

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6034

255 Hospital Dr
Suite 208
Glen Burnie, MD 21061-5801
Phone (410) 553-8160

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion29
Laminectomy or laminotomy (partial removal of spine bones)77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
University of Maryland Neurosurgery Associates P a Neurological Surgery CurrentSince Apr 2, 2011 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Clifford T. Solomon, MD Neurological Surgery Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

22 S Greene St
#S12D
Baltimore, MD 21201

22 S Greene St
Ste 12D
Baltimore, MD 21201
Phone (410) 328-6034

22 S Greene St
Ste S12D
Baltimore, MD 21201
Phone (410) 328-6034

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

5900 Waterloo Rd
Ste 120
Columbia, MD 21045
Phone 40766704447155

219 S Washington St
Easton, MD 21601

300 Hospital Dr
Ste 126
Glen Burnie, MD 21061
Phone (410) 787-4897

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

301 Hospital Dr
Ste 803
Glen Burnie, MD 21061
Phone (410) 553-8160

305 Hospital Dr
Lowr
Glen Burnie, MD 21061
Phone (410) 553-8359

305 Hospital Dr
Ste 304
Glen Burnie, MD 21061
Phone (410) 266-2725

305 Hospital Dr
Ste 460
Glen Burnie, MD 21061
Phone (410) 553-8160

Interoperability endpoints

  • Direct secure messaging: csolomon6482@direct.umm.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1457350555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64584",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644584",
            "telephone_number": "410-280-6568",
            "fax_number": "410-280-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL DR",
            "address_2": "SUITE 803",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615803",
            "telephone_number": "410-553-8160",
            "fax_number": "410-553-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "CLIFFORD",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D0037668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "752731400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.