Individual provider Active NPI

Marshall G Solomon, D.P.M.

  • Podiatrist
  • Farmington Hills, MI
National Provider Identifier
1932147717
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901000671 Issued in MI
Practice address
21111 Middlebelt Rd
Farmington Hills, MI 48336-5549
Phone
(248) 478-1150
Fax
(248) 478-1156
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901000671 MI Primary

Addresses

Primary practice location

21111 Middlebelt Rd
Farmington Hills, MI 48336-5549

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

28100 Grand River Ave Ste 301S
Farmington Hills, MI 48336-5970
Phone (947) 521-1320

Other identifiers 1

IdentifierTypeStateIssuer
1073253MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msolomon96858@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091217000098 MI Practitioner - Podiatry 2466525084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Specialists PCGroup PAC ID 7517030125, 3 clinicians

Practice addresses (Care Compare)

21111 Middlebelt Rd
Farmington Hills, MI 48336-5549
Phone (248) 478-1150

28100 Grand River Ave
Farmington Hills, MI 48336-5970

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
66.73
Promoting interoperability
100
Improvement activities
40
Cost
70.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue20
Removal of skin lesions54
Removal of nail tissue266
Removal or shaving of skin growth72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Jan 1, 2019 Accepting new patients
Foot Specialists PC Podiatrist CurrentSince Nov 1, 1982 Accepting new patients
Foot Specialists PC Podiatrist CurrentSince Nov 1, 1982 Accepting new patients
Botsford General Hospital Past Accepting new patients

Locations

21111 Middlebelt Rd
Farmington Hills, MI 48336
Phone (248) 478-1150

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

28080 Grand River Ave
Ste 306
Farmington Hills, MI 48336
Phone (248) 471-8982

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

10798 Belleville Rd
Van Buren Township, MI 48111
Phone (734) 697-6671

11885 E 12 Mile Rd
Ste 202B
Warren, MI 48093
Phone (586) 755-4242

Interoperability endpoints

  • Direct secure messaging: msolomon96858@direct.beaumont.edu
  • Direct secure messaging: msolomon1256874@epic00.shdirect.org

Organizations & group practices 4

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 9

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1932147717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21111 MIDDLEBELT RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365549",
            "telephone_number": "248-478-1150",
            "fax_number": "248-478-1156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28100 Grand River Ave Ste 301S",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365970",
            "country_code": "US",
            "telephone_number": "947-521-1320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "MARSHALL",
        "middle_name": "G",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901000671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073253",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msolomon96858@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "28100 Grand River Ave Ste 301S",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483365970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.