Individual provider Active NPI

Simon Charles Tong, M.D.

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1174938757
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R75490 Issued in AZ
Practice address
350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone
(520) 873-3077
Fax
(520) 873-3099
NPI assigned
Jun 23, 2014
Last updated
Jul 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R75490 AZ Primary

Addresses

Primary practice location

350 N Wilmot Rd
Tucson, AZ 85711-2602

Mailing address

350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone (520) 873-3077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20171013001976 AZ Practitioner - HospitalistPractitioner - Internal Medicine 2769757913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Inpatient Medicine Associates LLCGroup PAC ID 4183688344, 70 clinicians

Practice addresses (Care Compare)

7383 E Tanque Verde Rd
Tucson, AZ 85715-3475
Phone (520) 318-3434

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R75490AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Inpatient Medicine Associates LLC Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Oct 1, 2017 Accepting new patients
American Physicians, Inc. CurrentSince Jan 1, 2022 Accepting new patients
American Physicians, Inc Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients

Locations

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

7383 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 318-3434

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Organizations & group practices 4

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 5

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1174938757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112602",
            "telephone_number": "520-873-3077",
            "fax_number": "520-873-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112602",
            "telephone_number": "520-873-3077",
            "fax_number": "520-873-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONG",
        "first_name": "SIMON",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R75490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.