Individual provider Active NPI

Liliana Simon, MD

  • Pediatrics Physician
  • Rockville, MD
National Provider Identifier
1194708313
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
65967 Issued in MD
Practice address
12 Pasture Brook CT
Rockville, MD 20854-2954
Phone
(301) 357-0978
NPI assigned
Nov 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 65967 MD
Pediatrics Physician 208000000X 65967 MD Primary

Addresses

Primary practice location

12 Pasture Brook CT
Rockville, MD 20854-2954

Mailing address

12 Pasture Brook CT
Rockville, MD 20854-2954
Phone (301) 357-0978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, AL2 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

Enrollment IDStateProvider typePAC IDDetails
I20120802000543 MD Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 8325146665 Reassigns benefits to 1 organization
I20180509001208 AL Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 8325146665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pediatric Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12500 Willowbrook Rd
Columbia, MD 21501
Phone (410) 706-5181

22 S Green St
Baltimore, MD 21201-1544

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65967MDMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Pediatric Associates, PA Pediatrics CurrentSince Aug 1, 2012 Accepting new patients
University of South Alabama Current Accepting new patients
University of Maryland Pediatric Associates, PA Pediatrics CurrentSince Aug 1, 2012 Accepting new patients
University of South Alabama CurrentSince Feb 1, 2018 Accepting new patients
University of South Alabama Pediatrics CurrentSince Feb 1, 2018 Accepting new patients
University of Maryland Medical Center, LLC Past Accepting new patients

Locations

1700 Center St
Mobile, AL 36604
Phone (251) 415-1000

1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616

1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

Interoperability endpoints

  • Direct secure messaging: lsimon231471@direct.umm.edu

Organizations & group practices 6

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1194708313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PASTURE BROOK CT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208542954",
            "telephone_number": "301-357-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PASTURE BROOK CT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208542954",
            "telephone_number": "301-357-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "LILIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "MD",
            "license": "65967",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "65967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.