Active NPI
Anton Simorov, M.D.
- Surgery Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- U9174
- Practice address
- 4502 Medical Dr
San Antonio, TX 78229-4402 - Phone
- (210) 358-8900
- Fax
- (210) 567-5797
- NPI assigned
- Jul 6, 2014
- Last updated
- Jun 3, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | U9174 | TX | Primary |
Addresses
Primary practice location
4502 Medical Dr
San Antonio, TX 78229-4402
Mailing address
4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1710 E Saunders St
Suite B460
Laredo, TX 78041-5454
Phone (956) 796-2999
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U9174 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Surgery | Current | Accepting new patients |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Faith Regional Physician Services, LLC | Current | Accepting new patients | |
| Faith Regional Physician Services, LLC | Current | Accepting new patients | |
| CHI Health Clinic Specialty, LLC | Surgery | Current | Accepting new patients |
| Regional Employee Assistance Program Inc | Surgery | Current | Accepting new patients |
Locations
2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856
908 N Howard Ave
Ste 108
Grand Island, NE 68803
Phone (308) 381-2224
47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150
8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440
2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194
2701 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 844-8158
1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971
1710 E Saunders St
Ste B460
Laredo, TX 78041
Phone (956) 794-8720
2005 E Bustamante St
Laredo, TX 78041
Phone (210) 474-0273
Interoperability endpoints
- anton.simorov.1@1902.direct.athenahealth.com
- antonsimorov@cneb.allscriptsdirect.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1649232984
Surgery
-
- Family Medicine Physician
- Norfolk, NE
- NPI 1265489157
-
- Internal Medicine Physician
- College Station, TX
- NPI 1053373951
Surgery
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1073575585
-
- Anesthesiology Physician
- Norfolk, NE
- NPI 1275074577
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Laredo Medical Center
- General Acute Care Hospital
- Laredo, TX
- NPI 1548232044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1083020556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294402",
"telephone_number": "210-358-8900",
"fax_number": "210-567-5797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294402",
"telephone_number": "210-358-8900",
"fax_number": "210-567-5797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMOROV",
"first_name": "ANTON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-06",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "U9174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Adriana Yvonne Simons, LVN
- Ashley Christine Simons, DPT, PT
- Ki'Ana Kentece Simons, RN
- Clinton Scott Simonson Jr., PTA
- Nathan Simonson
- Christina Simpkins
- Landon Simpkins
- Simply Love All People Inc. (San Antonio Simply Love All People inc)
- Simply the Best Home Therapy, LLC
- Simply the Best Therapy Clinic, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.