Active NPI
Steven L Solomon, MD
- Diagnostic Radiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- R4J72
- Practice address
- 3015 N Ballas Rd
Dept Radiology
Saint Louis, MO 63131-2329 - Phone
- (314) 996-5170
- Fax
- (314) 996-4261
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | R4J72 | MO | Primary |
Addresses
Primary practice location
3015 N Ballas Rd
Dept Radiology
Saint Louis, MO 63131-2329
Mailing address
PO Box 60352
Saint Louis, MO 63160-0352
Phone (314) 996-5170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203180104 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4J72 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miracl, LLC | Current | Accepting new patients | |
| Washington University | Diagnostic Radiology | Current | Accepting new patients |
| Kirkwood Diagnostic & Orthopedic Associates, LLC. | Past | Accepting new patients |
Locations
1225 Graham Rd
Florissant, MO 63031
Phone (314) 653-5630
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-1700
3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330
660 S Euclid Ave
#8131
Saint Louis, MO 63110
Phone (314) 362-2809
510 S Kingshighway Blvd
#8131
Saint Louis, MO 63110
Phone (314) 362-2900
510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177
751 Sappington Bridge Rd
Sullivan, MO 63080
Phone (573) 468-1343
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DGEHCD
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Rolla, MO
- NPI 1205304300
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
Diagnostic Radiology
-
- Sports Medicine (Family Medicine) Physician
- Saint Louis, MO
- NPI 1295839702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1679680821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60352",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631600352",
"telephone_number": "314-996-5170",
"fax_number": "314-996-4261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 N BALLAS RD",
"address_2": "DEPT RADIOLOGY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312329",
"telephone_number": "314-996-5170",
"fax_number": "314-996-4261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "STEVEN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "R4J72",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203180104",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "3015 N Ballas Rd",
"address_2": "Dept Radiology",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631312329",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.