Individual provider Active NPI

Ahmad Soliman, MD

  • Pediatrics Physician
  • Seymour, IN
National Provider Identifier
1568015386
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01087971A Issued in IN
Practice address
120 Saint Louis Ave
Seymour, IN 47274-2304
Phone
(812) 524-8388
Fax
(812) 954-5021
NPI assigned
Jul 21, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01087971A IN Primary

Addresses

Primary practice location

120 Saint Louis Ave
Seymour, IN 47274-2304

Mailing address

8003 Castleway Dr
Indianapolis, IN 46250-1946
Phone (317) 576-1335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220810003655 IN Practitioner - Pediatric Medicine 6204219181 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01087971AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Health Centers, Inc. Pediatrics CurrentSince Sep 1, 2022 Accepting new patients
Indiana Health Centers Inc CurrentSince Sep 1, 2022 Accepting new patients
Indiana Health Centers, Inc. Past Accepting new patients
Indiana Health Centers, Inc. Pediatrics Past Accepting new patients
Indiana Health Centers, Inc Past Accepting new patients

Locations

8003 Castleway Dr
Indianapolis, IN 46250
Phone (317) 576-1335

3118 S Lafountain St
Kokomo, IN 46902
Phone (765) 864-4160

1700 Dividend Dr
Logansport, IN 46947
Phone (574) 722-7407

3710 S Western Ave
Marion, IN 46953
Phone (765) 263-8577

120 Saint Louis Ave
Seymour, IN 47274
Phone (812) 405-1857

765 S Michigan St
South Bend, IN 46601
Phone (574) 235-7990

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.

NPI Registry JSON

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

{
    "created_epoch": "1563667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1568015386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 CASTLEWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501946",
            "telephone_number": "317-576-1335",
            "fax_number": "317-343-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SAINT LOUIS AVE",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742304",
            "telephone_number": "812-524-8388",
            "fax_number": "812-954-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIMAN",
        "first_name": "AHMAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-21",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01087971A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.