Individual provider Active NPI

Andrei Simon, DO

  • Emergency Medicine Physician
  • Wesley Chapel, FL
National Provider Identifier
1184328239
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
23220 Issued in FL
Practice address
3000 Wiregrass Ranch Blvd
Wesley Chapel, FL 33543-4274
Phone
(813) 388-4000
NPI assigned
Mar 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 23220 FL Primary

Addresses

Primary practice location

3000 Wiregrass Ranch Blvd
Wesley Chapel, FL 33543-4274

Mailing address

10049 Avalon Lake Cir
Fort Myers, FL 33913-2604
Phone (971) 533-9233

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
I20230622003049 FL Order and Referring Only - Emergency MedicinePractitioner - Emergency Medicine 2365800315

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5333 Roosevelt Rd
Chattanooga, TN 37412-3017

PO Box
Suite 31331
Tampa, FL 33631

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1184328239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10049 AVALON LAKE CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339132604",
            "telephone_number": "971-533-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WIREGRASS RANCH BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335434274",
            "telephone_number": "813-388-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "ANDREI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-30",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "23220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.