Active NPI
Andrei Simon, DO
- Emergency Medicine Physician
- Wesley Chapel, FL
National Provider Identifier
1184328239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 23220
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230622003049 | FL | Order and Referring Only - 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.