Individual provider Active NPI

George Rajan Simon, MD

  • Medical Oncology Physician
  • Celebration, FL
National Provider Identifier
1164438768
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME83970 Issued in FL
Practice address
380 Celebration PL FL 2
Celebration, FL 34747-4606
Phone
(843) 792-1414
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X 30373 SC
Hematology (Internal Medicine) Physician 207RH0000X ME83970 FL
Hematology & Oncology Physician 207RH0003X 435665 PA
Medical Oncology Physician 207RX0202X ME83970 FL Primary

Addresses

Primary practice location

380 Celebration PL FL 2
Celebration, FL 34747-4606

Mailing address

380 Celebration PL FL 2
Celebration, FL 34747-4606

Other identifiers 3

IdentifierTypeStateIssuer
35803OtherFLBLUE CROSS BLUE SHIELD
1022465770001MedicaidPA
259450100MedicaidFL

Other names 1

  • Dr. George Rajan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20071218000532 FL Practitioner - Medical OncologyPractitioner - Internal Medicine 4880784560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88 of 100Reported as group
Quality
74.04
Promoting interoperability
100
Improvement activities
40
Cost
70.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30373SCMDHematology (Internal Medicine) Physician
435665PAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group CurrentSince Oct 13, 2024 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Oct 13, 2024 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 17, 2020 Accepting new patients
Jupiter Medical Center Physicians Group Inc Current Accepting new patients
Florida Hospital Medical Group Inc Hematology & Oncology CurrentSince Aug 17, 2020 Accepting new patients

Locations

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

1240 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 263-4400

380 Celebration Pl
Fl 2
Kissimmee, FL 34747
Phone (407) 303-4190

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

Interoperability endpoints

  • Direct secure messaging: george.simon@direct.moffitt.org

Organizations & group practices 5

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1164438768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 CELEBRATION PL FL 2",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 CELEBRATION PL FL 2",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474606",
            "telephone_number": "843-792-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "GEORGE",
        "middle_name": "RAJAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "SC",
            "license": "30373",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "ME83970",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "435665",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME83970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "35803",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022465770001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259450100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "RAJAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.