Individual provider Active NPI

Stephen Solomon, DPM

  • Foot & Ankle Surgery Podiatrist
  • Waterloo, IA
National Provider Identifier
1982699831
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00677 Issued in IA
Practice address
44 Brookeridge Dr
Waterloo, IA 50701-5214
Phone
(319) 234-2644
Fax
(319) 234-4938
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 00677 IA Primary

Addresses

Primary practice location

44 Brookeridge Dr
Waterloo, IA 50701-5214

Mailing address

44 Brookeridge Dr
Waterloo, IA 50701-5214
Phone (319) 234-2644

Other identifiers 2

IdentifierTypeStateIssuer
1982699831OtherIAUNITED HEALTHCARE
0157677MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20100623000513 IA Practitioner - Podiatry 3779474606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.93 of 100Reported as individual
Quality
61.87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Iowa Podiatry PC Foot & Ankle Surgery CurrentSince Oct 1, 1983 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

201 E J Ave
Grundy Center, IA 50638
Phone (319) 824-5081

308 N Maple Ave
New Hampton, IA 50659
Phone (641) 394-2151

44 Brookeridge Dr
Waterloo, IA 50701
Phone (319) 234-2644

Interoperability endpoints

  • Direct secure messaging: ssolomon108447@direct.unitypoint.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1982699831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BROOKERIDGE DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015214",
            "telephone_number": "319-234-2644",
            "fax_number": "319-234-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BROOKERIDGE DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015214",
            "telephone_number": "319-234-2644",
            "fax_number": "319-234-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "00677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1982699831",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157677",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.