Active NPI
Mitchell E Simons, M.D.
- Pain Medicine (Anesthesiology) Physician
- Cincinnati, OH
National Provider Identifier
1215003355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 35050545
- Practice address
- 4243 Hunt Rd
Cincinnati, OH 45242-6645 - Phone
- (513) 794-5107
- Fax
- (513) 791-2680
- NPI assigned
- Nov 28, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 21522 | KY | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 35050545 | OH | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 21522 | KY |
Addresses
Primary practice location
4243 Hunt Rd
Cincinnati, OH 45242-6645
Mailing address
4243 Hunt Rd
Cincinnati, OH 45242-6645
Phone (513) 794-5107
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164264900 | Other | OH | ACS-DEPT OF LABOR |
| 2440820000 | Other | PASSPORT ADVANTAGE MCR MC | |
| 64215221 | Medicaid | KY | |
| 000000364540 | Other | ANTHEM-PAIN MANAGEMENT | |
| 050074221 | Other | OH | RAILROAD MEDICARE |
| 000000077084 | Other | ANTHEM - ANESTHESIOLOGY | |
| 284326 | Other | OH | AMERIGROUP MEDICAID MCO |
| 050073296 | Other | KY | RAILROAD MEDICARE |
| 0628404 | Medicaid | OH | |
| 164264200 | Other | KY | ACS-DEPT OF LABOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21522 | KY | MD | Pain Medicine (Anesthesiology) Physician |
| 35050545 | OH | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mitchell E. Simons, M.D., PSC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Cincinnati, OH
- NPI 1437282084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1215003355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4243 HUNT RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452426645",
"telephone_number": "513-794-5107",
"fax_number": "513-791-2680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4243 HUNT RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452426645",
"telephone_number": "513-794-5107",
"fax_number": "513-791-2680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONS",
"first_name": "MITCHELL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KY",
"license": "21522",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "OH",
"license": "35050545",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "KY",
"license": "21522",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS-DEPT OF LABOR",
"identifier": "164264900",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE MCR MC",
"identifier": "2440820000",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64215221",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM-PAIN MANAGEMENT",
"identifier": "000000364540",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050074221",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - ANESTHESIOLOGY",
"identifier": "000000077084",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP MEDICAID MCO",
"identifier": "284326",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050073296",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0628404",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS-DEPT OF LABOR",
"identifier": "164264200",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.