Individual provider Active NPI

Gamil Z Soliman, MD

  • Ophthalmology Physician
  • Harper Woods, MI
National Provider Identifier
1477539088
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
GS031491 Issued in MI
Practice address
20440 Harper Avenue
Harper Woods, MI 48225-1644
Phone
(313) 884-2064
Fax
(313) 884-6460
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X GS031491 MI Primary

Addresses

Primary practice location

20440 Harper Avenue
Harper Woods, MI 48225-1644

Mailing address

20440 Harper Avenue
Harper Woods, MI 48225-1644
Phone (313) 884-2064

Other identifiers 2

IdentifierTypeStateIssuer
1084963MedicaidMI
1803249392OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080506000055 MI Practitioner - Ophthalmology 2961581764 Practice locations: Detroit, MI; Harper Woods, MI

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GS031491MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Neurological Services, PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1477539088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20440 HARPER AVENUE",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251644",
            "telephone_number": "313-884-2064",
            "fax_number": "313-884-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20440 HARPER AVENUE",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251644",
            "telephone_number": "313-884-2064",
            "fax_number": "313-884-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIMAN",
        "first_name": "GAMIL",
        "middle_name": "Z",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "GS031491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1084963",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1803249392",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harper Woods, MI

Sources for this page

Verify at the official NPI Registry.