Individual provider Active NPI

Scott Brandon Simeon, M.D.

  • Internal Medicine Physician
  • Kenner, LA
National Provider Identifier
1093784696
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
023871 Issued in LA
Practice address
200 W Esplanade Ave
Suite 106
Kenner, LA 70065-2489
Phone
(504) 712-7000
Fax
(504) 712-7040
NPI assigned
Mar 16, 2006
Last updated
Feb 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 023871 LA Primary
Pediatrics Physician 208000000X 023871 LA

Addresses

Primary practice location

200 W Esplanade Ave
Suite 106
Kenner, LA 70065-2489

Mailing address

200 W Esplanade Ave
Suite 106
Kenner, LA 70065-2489
Phone (504) 712-7000

Other identifiers 1

IdentifierTypeStateIssuer
1485845MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714000500 LA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2365427382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

200 W Esplanade Ave
Suite 405
Kenner, LA 70065-2474

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
023871LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher D Naquin MD Apmc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1093784696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "address_2": "SUITE 106",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652489",
            "telephone_number": "504-712-7000",
            "fax_number": "504-712-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "address_2": "SUITE 106",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652489",
            "telephone_number": "504-712-7000",
            "fax_number": "504-712-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMEON",
        "first_name": "SCOTT",
        "middle_name": "BRANDON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "023871",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "023871",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1485845",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.