Individual provider Active NPI

Elias Solomon, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Oklahoma City, OK
National Provider Identifier
1770624694
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
24555 Issued in OK
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

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200114070AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, MO, WI, ND4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20071016000230 OK Practitioner - Cardiac Surgery 9931295391 Reassigns benefits to 1 organization
I20200229000149 MO Practitioner - Thoracic Surgery 9931295391 Reassigns benefits to 1 organization
I20200723000294 WI Practitioner - Cardiac Surgery 9931295391 Reassigns benefits to 1 organization
I20250627003688 ND Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 9931295391 Reassigns benefits to 1 organization

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
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians

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 Hospital, Joplin, MO, CCN 260001
  • Sanford Medical Center Bismarck Hospital, Bismarck, ND, CCN 350015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)11
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24555OKMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Bismarck CurrentSince Jun 5, 2025 Accepting new patients
Froedtert South, Inc. CurrentSince Apr 3, 2020 Accepting new patients
Sanford Bismarck CurrentSince Jun 5, 2025 Accepting new patients
Saints Medical Group, LLC CurrentSince Apr 1, 2021 Accepting new patients
Mercy Clinic Joplin LLC Surgery CurrentSince Aug 29, 2022 Accepting new patients
Saints Medical Group, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Apr 1, 2021 Accepting new patients
Integris Southwest Associates Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Sep 14, 2009 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

  • Direct secure messaging: esolomon1019110@directc.mercy.net
  • Direct secure messaging: esolomon371368@direct.froedtert.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.