Shastra Solomon, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200801532 Issued in NC

Practice address

9201 University City Blvd
Charlotte, NC 28223

Phone

(704) 687-7400

Fax

(704) 687-1801

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

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.

• Capital Health Medical Group

  • Internal Medicine Physician
  • Trenton, NJ
  • NPI 1437516887

  Family Medicine

  NPD (past)
• Hamilton Physicians Group, PC

  • Family Medicine Physician
  • Mercerville, NJ
  • NPI 1417904087
  NPD (past)
• Robert Wood Johnson Medical Associates at Hamilton PA

  • General Practice Physician
  • Linden, NJ
  • NPI 1619206828

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1811008436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 UNIVERSITY CITY BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28223",
            "telephone_number": "704-687-7400",
            "fax_number": "704-687-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 UNIVERSITY CITY BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28223",
            "telephone_number": "704-687-7400",
            "fax_number": "704-687-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "SHASTRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA06114800",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200801532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC NUMBER",
            "identifier": "MA06114800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savannah Kaylee Solley, BT, BA
• Brionni Solomon
• Carlene Solomon, OD
• Mia R Solomon
• Philip Jay Solomon, M.D.
• Wendy L Solomon, MA, CCC-SLP
• Mark Solomonson, CRNA
• Solstice Child and Family Wellness PLLC
• Solutions Center for Counseling PLLC
• Solutions for Life Clinical Counseling, Life Coaching&Consultingservi

• Family Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.