Individual provider Active NPI

Simon C Abelson, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1295807360
Registry record updated Jan 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 93384 Issued in FL
Practice address
7085 SW 47TH St
Miami, FL 33155-4652
Phone
(786) 269-7939
Fax
(305) 667-6317
NPI assigned
Nov 14, 2006
Last updated
Jan 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 93384 FL Primary

Addresses

Primary practice location

7085 SW 47TH St
Miami, FL 33155-4652

Mailing address

7085 SW 47TH St
Miami, FL 33155-4652
Phone (786) 269-7939

Other identifiers 1

IdentifierTypeStateIssuer
13737OtherFLBLUE CROSS BLUE SHIELD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071022000157 FL Practitioner - Internal Medicine 2163405994 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 93384FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A & a Community Mental Health Center CurrentSince May 17, 2021 Accepting new patients
Serene Medical Center, LLC Past Accepting new patients
Judy Anderson, MD, PC Past Accepting new patients
Reclamation Center Past Accepting new patients
Visiting Physicians of the Delaware Valley LLC Past Accepting new patients

Locations

3176 S University Dr
Miramar, FL 33025
Phone (954) 431-2020

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483315200000",
    "number": "1295807360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7085 SW 47TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554652",
            "telephone_number": "786-269-7939",
            "fax_number": "305-667-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7085 SW 47TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554652",
            "telephone_number": "786-269-7939",
            "fax_number": "305-667-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABELSON",
        "first_name": "SIMON",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2017-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 93384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "13737",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.