Active NPI
Alan E Simon, M.D.
- Pediatrics Physician
- Washington, DC
National Provider Identifier
1255416780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD034768
- Practice address
- 111 Michigan Ave NW
General Pediatrics (C/O Shanaz Mirza)--Suite 2110
Washington, DC 20010-2978 - Phone
- (202) 884-3948
- NPI assigned
- Oct 25, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD034768 | DC | Primary |
| Pediatrics Physician | 208000000X | D63482 | MD |
Addresses
Primary practice location
111 Michigan Ave NW
General Pediatrics (C/O Shanaz Mirza)--Suite 2110
Washington, DC 20010-2978
Mailing address
10615 Margate Rd
Silver Spring, MD 20901-1655
Phone (301) 592-8616
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD034768 | DC | MD | Pediatrics Physician |
| D63482 | MD | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255416780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10615 MARGATE RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209011655",
"telephone_number": "301-592-8616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MICHIGAN AVE NW",
"address_2": "GENERAL PEDIATRICS (C/O SHANAZ MIRZA)--SUITE 2110",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102978",
"telephone_number": "202-884-3948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "ALAN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DC",
"license": "MD034768",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D63482",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.