DR. MOHAMED AHMED SOLTAN (MD) – Pediatric Urology Physician, NPI 1215653282

DR. MOHAMED AHMED SOLTAN (MD) is a healthcare provider. based in Memphis, Tennessee. specializing in PEDIATRIC MEDICINE, UROLOGY. They hold the professional credentials MD. They hold a License No. MD00000701000 (TN). The NPI Number for DR. MOHAMED AHMED SOLTAN (MD) is 1215653282

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. MOHAMED AHMED SOLTAN (MD)
NPI
1215653282
Phone
(901) 663-4801
Address
51 N DUNLAP ST STE 100
Enumeration Date
12 October 2022
Last Update Date
18 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9012877337
Graduation Year
2014 (12 years ago)
PAC ID
1951837244
Group Practice PAC ID
7719173939
Professional Enrollment ID
I20241210003279
Address ID
TN381054625ME51XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

788 PEDIATRIC MEDICINE in TN

Provider Addresses for DR. MOHAMED AHMED SOLTAN (MD)

  • 51 N DUNLAP ST STE 100

    MEMPHIS, TN 381054626

    Phone: (901) 663-4801

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241210003279IPediatric MedicineTNTBD
I20241230000047IUrologyTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38105)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719173939View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMS
Cardiovascular Disease (Cardiology), Interventional Cardiology, Pediatric Medicine, Cardiovascular Disease (Cardiology), Interventional CardiologyTN
-TN
-TN
-TN
-TN
Diagnostic RadiologyTN
Nephrology, Pediatric Medicine, Nephrology, Pediatric MedicineTX
Internal Medicine, Nephrology, Pediatric Medicine, NephrologyTN
Pediatric Medicine, NephrologyTX

Reviews

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Frequently asked questions

How do I look up DR. MOHAMED AHMED SOLTAN (MD) by NPI?
Use NPI 1215653282 when you need to reference DR. MOHAMED AHMED SOLTAN (MD) in forms, claims, or directories.
Is DR. MOHAMED AHMED SOLTAN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. MOHAMED AHMED SOLTAN (MD) work in?
You can think of DR. MOHAMED AHMED SOLTAN (MD) as practicing within Pediatric Urology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MOHAMED AHMED SOLTAN (MD)?
The page summarizes Memphis, Tennessee for DR. MOHAMED AHMED SOLTAN (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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