Dagobert Simo, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0073466 Issued in MD

Practice address

1403 Madison Park Dr
Glen Burnie, MD 21061-6189

Phone

(410) 487-6902

Fax

(410) 487-6982

NPI assigned

Jun 29, 2009

Last updated

Aug 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

Family PracticeAlso: Internal Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dsimo46295@direct.umm.edu
• FHIR API: https://fhir4.healow.com/fhir/r4/CHDABD/Endpoint/CHDABD

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.

• Mafot & Associates Medical Services LLC

  • General Practice Physician
  • Glen Burnie, MD
  • NPI 1104248541
  Medicare reassignment NPD Authorized official
• Baltimore Washington Medical Center Inc.

  • General Acute Care Hospital
  • Glen Burnie, MD
  • NPI 1124016696
  Medicare reassignment NPD
• University of Maryland Community Medical Group, Inc.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1477530624
  Medicare reassignment NPD
• Mdics Rehabilitative Services LLC

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1124313309

  DC

  Medicare reassignment
• Baltimore Washington Medical Center Inc.

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1831378868
  NPD
• Baltimore Washington Medical Center Inc.

  dba The Right Fit at Baltimore Washington Medical Center

  • Customized Equipment (DME)
  • Glen Burnie, MD
  • NPI 1881799344
  NPD
• University of Maryland Community Medical Group, Inc.

  • Psychiatry Physician
  • La Plata, MD
  • NPI 1679393854
  NPD
• Geh Medical Associates, PA

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1184813792
  NPD (past)

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1144458217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 HONEY LOCUST CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426016",
            "telephone_number": "410-487-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 MADISON PARK DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616189",
            "telephone_number": "410-487-6902",
            "fax_number": "410-487-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMO",
        "first_name": "DAGOBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MD",
            "license": "D0073466",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0073466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Silber, LCSW-C
• Michele Silver-Aylaian, PHD
• Ozwanna Silver
• Emily F Sim, D.O.
• Carole K Simo, CRNP
• Sarah Horsey Simpson, PHD
• Sinad Home Care Services LLC
• Valerie Sinady, NP
• Sinai Hospital of Baltimore Inc
• Sinai Hospital of Baltimore, Inc.

• Internal Medicine Physician in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.

Verify at the official NPI Registry.