NPIMap

Individual provider Active NPI

Jon E Simon, M.D.

  • Internal Medicine Physician
  • Hunt Valley, MD
National Provider Identifier
1285730762
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D53156 Issued in MD
Practice address
11121 York Rd
Hunt Valley, MD 21030-2006
Phone
(106) 282-0264
Fax
(410) 667-6834
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D53156 MD
Internal Medicine Physician 207R00000X D53156 MD Primary

Addresses

Primary practice location

11121 York Rd
Hunt Valley, MD 21030-2006

Mailing address

11121 York Rd
Hunt Valley, MD 21030-2006
Phone (410) 628-2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101008000104 MD Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6103018148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Maryland School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Maryland Family Care IncGroup PAC ID 5092629394, 157 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

1734 York Rd
Lutherville, MD 21093-5606
Phone (410) 252-2273

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Stella Maris, Inc. Home health agency, Timonium, MD, CCN 217072
  • Greater Baltimore Medical Center Hospital, Baltimore, MD, CCN 210044

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as individual
Quality
80.45
Promoting interoperability
100
Improvement activities
40
Cost
76.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Dec 3, 2018 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Dec 3, 2018 Accepting new patients
Maryland Family Care, Inc. Internal Medicine CurrentSince Aug 10, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6701 N Charles St
Unit 23
Baltimore, MD 21204
Phone (443) 849-3131

11121 York Rd
Hunt Valley, MD 21030
Phone (410) 628-0026

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

3346 Paper Mill Rd
Phoenix, MD 21131
Phone (410) 666-4060

1734 York Rd
Timonium, MD 21093
Phone (410) 252-2273

6565 N Charles St
Ste 203
Towson, MD 21204
Phone (410) 828-3760

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767

Interoperability endpoints

  • Direct secure messaging: jsimon97602@direct.mdmercy.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1285730762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 YORK RD",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210302006",
            "telephone_number": "410-628-2026",
            "fax_number": "410-667-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11121 YORK RD",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210302006",
            "telephone_number": "106-282-0264",
            "fax_number": "410-667-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JON",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D53156",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D53156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

Verify at the official NPI Registry.