Individual provider Active NPI

Matthias Solomon, MD

  • Plastic and Reconstructive Surgery Physician
  • Dallas, TX
National Provider Identifier
1629261383
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
P3587 Issued in TX
Practice address
12655 N Central Expy
Suite 650
Dallas, TX 75243-1700
Phone
(214) 234-0277
Fax
(972) 474-9045
NPI assigned
Aug 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 50155 MN
Plastic and Reconstructive Surgery Physician 2086S0122X 28975 OK
Plastic and Reconstructive Surgery Physician 2086S0122X P3587 TX Primary

Addresses

Primary practice location

12655 N Central Expy
Suite 650
Dallas, TX 75243-1700

Mailing address

2161 Meadow View Dr
Prosper, TX 75078-9447
Phone (612) 851-0195

Other identifiers 3

IdentifierTypeStateIssuer
1629261383MedicaidWI
1629261383MedicaidMN
P00632081OtherMNMEDICARE, RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120920000210 TX Practitioner - Plastic and Reconstructive Surgery 3476647686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthew D Barrows MD PAGroup PAC ID 6305894171, 23 clinicians

Practice addresses (Care Compare)

1790 N Stonebridge Dr
McKinney, TX 75071-7437
Phone (972) 390-9002

Merit-based Incentive Payment System (MIPS)

Final score
76.77 of 100Reported as group
Quality
48.81
Promoting interoperability
100
Improvement activities
40
Cost
73.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28975OKMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew D Barrows MD PA CurrentSince May 1, 2015 Accepting new patients
Solomon Clinic of Plastic Surgery, PLLC Past Accepting new patients

Locations

780 N Watters Rd
Ste 180
Allen, TX 75013

2548 Lillian Miller Pkwy
Ste 100
Denton, TX 76210
Phone (940) 387-7565

1790 N Stonebridge Dr
McKinney, TX 75071
Phone 9723909002303

1020 W Ralph Hall Pkwy
Ste 102
Rockwall, TX 75032
Phone (970) 390-9002

Organizations & group practices 2

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": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1629261383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 MEADOW VIEW DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789447",
            "telephone_number": "612-851-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12655 N CENTRAL EXPY",
            "address_2": "SUITE 650",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431700",
            "telephone_number": "214-234-0277",
            "fax_number": "972-474-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "MATTHIAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MN",
            "license": "50155",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OK",
            "license": "28975",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "P3587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629261383",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629261383",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, RAILROAD",
            "identifier": "P00632081",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.