Active NPI
Elias Solomon, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 24555
- Practice address
- 4401 S Western Ave
Suite 2010
Oklahoma City, OK 73109-3413 - Phone
- (405) 231-0540
- Fax
- (405) 644-5309
- NPI assigned
- Feb 12, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 24555 | OK | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 24555 | OK | Primary |
Addresses
Primary practice location
4401 S Western Ave
Suite 2010
Oklahoma City, OK 73109-3413
Mailing address
9020 E Reno Ave
Midwest City, OK 73130-3336
Phone (405) 732-7020
Other practice location 1
9020 E Reno Ave
Midwest City, OK 73130
Phone (405) 732-7020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200114070A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, MO, WI, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Mercy Way
310 Mercy Clinic Joplin Cardiac Thoraci
Joplin, MO 64804-4524
Phone (417) 556-8600
300 N 7TH St
Bismarck, ND 58501-4439
Phone (701) 323-6000
3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300
Hospital & facility affiliations
- Mercy Hospital Joplin
- Sanford Medical Center Bismarck
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 11 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24555 | OK | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Bismarck | Current | Accepting new patients | |
| Froedtert South, Inc. | Current | Accepting new patients | |
| Sanford Bismarck | Current | Accepting new patients | |
| Saints Medical Group, LLC | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Surgery | Current | Accepting new patients |
| Saints Medical Group, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Integris Southwest Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Froedtert South, Inc. | Past | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Surgery | Past | Accepting new patients |
Locations
100 Mercy Way
Ste 310
Joplin, MO 64804
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300
9020 E Reno Ave
Oklahoma City, OK 73130
Phone (405) 732-7020
608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737
777 NW 63rd St
Fl 4
Oklahoma City, OK 73116
Phone (405) 231-3818
609 W Memorial Rd
Oklahoma City, OK 73114
Phone (405) 418-2676
6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300
6308 8th Ave
Ste 3040
Kenosha, WI 53143
Phone (262) 656-2328
6308 8th Ave
#3040
Kenosha, WI 53143
Phone (262) 656-2328
9555 76th St
Ste 3880
Pleasant Prairie, WI 53158
Phone (263) 653-5483
9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000
9555 76th St
#3880
Pleasant Prairie, WI 53158
Interoperability endpoints
- esolomon1019110@directc.mercy.net
- esolomon371368@direct.froedtert.com
- egsolomo@yourcarecommunity.org
Organizations & group practices 9
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
- Bismarck, ND
- NPI 1811941172
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1437195922
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Family Medicine Physician
- Kenosha, WI
- NPI 1558305284
-
- Durable Medical Equipment & Medical Supplies
- Edmond, OK
- NPI 1730907700
-
- Multi-Specialty Clinic/Center
- Dickinson, ND
- NPI 1720075377
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Oklahoma City, OK
- NPI 1639202898
-
- General Acute Care Hospital
- Pleasant Prairie, WI
- NPI 1003831132
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
-
- General Acute Care Hospital
- Bismarck, ND
- NPI 1538245634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1770624694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9020 E RENO AVE",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731303336",
"telephone_number": "405-732-7020",
"fax_number": "405-732-7839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 S WESTERN AVE",
"address_2": "SUITE 2010",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093413",
"telephone_number": "405-231-0540",
"fax_number": "405-644-5309"
}
],
"practiceLocations": [
{
"address_1": "9020 E Reno Ave",
"address_purpose": "LOCATION",
"city": "Midwest City",
"state": "OK",
"postal_code": "73130",
"country_code": "US",
"telephone_number": "405-732-7020",
"fax_number": "405-732-7839",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOLOMON",
"first_name": "ELIAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "24555",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "OK",
"license": "24555",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200114070A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.