NPIMap

Jeffrey A Simon, M.D.

Individual provider Active NPI Neuroradiology Physician · Brentwood, TN

NPI 1366490617 · NPPES record last updated Apr 30, 2018

Key facts

NPI
1366490617
Entity type
Individual (NPI type 1)
Primary specialty
Neuroradiology Physician 2085N0700X
License
ME85283 (FL)
Practice address
750 Old Hickory Blvd Ste 1-260
Brentwood, TN 37027-4528
Phone
(615) 376-7500
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 46

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.

View all 46

Hospital & facility affiliations 5

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

Medicare Care Compare profile

Specialty
Diagnostic Radiology
Education
Jefferson Medical College of Thomas Jefferson University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Cruces Physician Services LLC (104 clinicians)
DHHS IHS Phoenix Area (54 clinicians)
Mississippi Hma Hospitalists LLC (55 clinicians)
Radiology Associates of San Luis Obispo a Medical Group Inc (56 clinicians)
California Managed Imaging Medical Group Inc (76 clinicians)
Gila River Health Care Corporation (245 clinicians)
Dhew Ind HLTH SV HLTH SVS and MNTL HLTH Adm (219 clinicians)
DHHS,PHS,Naihs, Gallup Indian Medical Center (179 clinicians)
DHHS IHS Phoenix Area (25 clinicians)
The Fort Defiance Indian Hospital Board, Incorporation (153 clinicians)
DHHS PHS Naihs Chinle Comprehensive Health Care Facility (160 clinicians)
DHHS PHS Naihs Shiprock Hospital (148 clinicians)
Kayenta Alternative Rural Hospital (60 clinicians)

Practice addresses (Care Compare)

1135 S Main St
Suite B
Las Cruces, NM 88005-2946
Phone (505) 525-4000

12033 Agency Rd
Parker, AZ 85344-7718
Phone (928) 669-2137

1423 Estuary TRL
Delray Beach, FL 33483-5941
Phone (601) 268-8103

291 W Casa Blanca Rd
Hu Hu Kam Memorial Hospital
Sacaton, AZ 85147-0038
Phone (520) 562-3323

350 Crossgates Blvd
Brandon, MS 39042-2601
Phone (601) 824-8501

4212 N 16TH St
Phoenix, AZ 85016-5319
Phone (602) 263-1200

483 W Seed Farm Rd
Sacaton, AZ 85147-0038

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone (505) 722-1000

943 Hualapai Way
Peach Springs Health Center
Peach Springs, AZ 86434-0190
Phone (928) 769-2900

943 Hualapai Way P O Box
190 Peach Springs Health Center
Peach Springs, AZ 86434-0190

Corner of Route N12 and N7
Fdihb Inc.
Fort Defiance, AZ 86504-0649
Phone (928) 729-8082

Highway 191 and Hospital Rd
Chinle, AZ 86503-8000
Phone 92867470307030

Highway 491
Shiprock, NM 87420-0160
Phone 50536860016401

P O Box
160 Attn Business Office
Shiprock, NM 87420-0160

PO Box
Suite 160
Shiprock, NM 87420-0160

PO Box
Suite 649
Fort Defiance, AZ 86504-0649

US Hwy 160 S
MP 394
Kayenta, AZ 86033-0368
Phone (928) 697-4000

Hospital & facility affiliations

  • Huhu Kam Memorial Hospital Hospital · Sacaton, AZ · CCN 031308
  • Gila Regional Medical Center Hospital · Silver City, NM · CCN 321311
  • St Johns Regional Medical Center Hospital · Oxnard, CA · CCN 050082
  • Fort Defiance Indian Hospital Hospital · Ft. Defiance, AZ · CCN 030071
  • Merit Health Wesley Hospital · Hattiesburg, MS · CCN 250094

Merit-based Incentive Payment System (MIPS)

Final score
89.21 of 100 (group)
Quality
76.88
Promoting interoperability
76
Improvement activities
40
Cost
73.83

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100 (group)
Quality
74.27
Improvement activities
40
Cost
78.06

Merit-based Incentive Payment System (MIPS)

Final score
78.18 of 100 (group)
Quality
61.12
Improvement activities
40
Cost
81.87

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100 (group)
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.86 of 100 (group)
Quality
61.32
Improvement activities
40
Cost
90.46

Medicare participation

Medicare fee-for-service enrollment
Enrolled (4 enrollments) in FL, TX, NM, MS
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040602000358 FL Practitioner - Diagnostic Radiology 8820070162 Reassigns benefits to 4 organizations
I20200406000448 TX Practitioner - Diagnostic Radiology 8820070162 Reassigns benefits to 12 organizations
I20240712002059 NM Practitioner - Diagnostic Radiology 8820070162 Reassigns benefits to 2 organizations
I20250320000765 MS Practitioner - Diagnostic Radiology 8820070162 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME85283FLMDNeuroradiology Physician
M-10835IDMDNeuroradiology Physician
MD201699LAMDNeuroradiology Physician
44627TNMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility Current
since Apr 2, 2024		 Accepting new patients
Medical Foundation, Inc. Current
since Oct 13, 2025		 Accepting new patients
Kayenta Alternative Rural Hospital Current
since Oct 27, 2024		 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm Current
since Dec 26, 2024		 Accepting new patients
Las Cruces Physician Services LLC Current
since May 1, 2024		 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation Current
since Dec 1, 2024		 Accepting new patients
DHHS, PHS, Naihs, Gallup Indian Medical Center Current
since Apr 1, 2024		 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital Current
since Apr 18, 2024		 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm Current
since Dec 26, 2024		 Accepting new patients
Medical Foundation, Inc. Current
since Oct 13, 2025		 Accepting new patients
Radiology Associates of San Luis Obispo, a Medical Group Inc Current
since May 29, 2024		 Accepting new patients
DHHS IHS Phoenix Current
since Jan 1, 2025		 Accepting new patients
California Managed Imaging Medical Group, Inc Current
since Sep 28, 2021		 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital Current
since Apr 18, 2024		 Accepting new patients
Mississippi Hma Hospitalists, LLC Current
since Feb 24, 2025		 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center Current
since Apr 1, 2024		 Accepting new patients
Gila River Health Care Current
since Mar 12, 2020		 Accepting new patients
Mississippi Hma Hospitalists, LLC Current
since Feb 24, 2025		 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Department of Health & Human Services PHS IHS Current
since Feb 1, 2022		 Accepting new patients
Irene Benn Medical Center Current
since Jan 1, 2025		 Accepting new patients
Gila Regional Medical Center Current Accepting new patients
DHHS IHS Phoenix Area Current
since Jan 1, 2025		 Accepting new patients
Kayenta Alternative Rural Hospital Current
since Oct 27, 2024		 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Kayenta Alternative Rural Hospital Current
since Oct 27, 2024		 Accepting new patients
Gila River Health Care Corporation Current
since Mar 12, 2020		 Accepting new patients
DHHS IHS Phoenix Area Current
since Jan 1, 2025		 Accepting new patients
Familycare Associates,PA Past Accepting new patients
Neuro Imaging Institute II Inc Past Accepting new patients
Neuro Imaging Institute, Inc Past Accepting new patients
University Imaging Center, LLC Neuroradiology Past Accepting new patients
DW Consulting LLC Past Accepting new patients
Vetmed Group LLC Past
since Jul 7, 2024		 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Neuroradiology Past Accepting new patients
American Radiology Associates, P.a. Neuroradiology Past Accepting new patients

Locations

3042 W Queen Creek Rd
Chandler, AZ 85248
Phone (520) 796-2600

17487 S Healthcare Dr
Laveen, AZ 85339
Phone (520) 550-6000

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1306 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-2260

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

Dept LA 21738
Pasadena, CA 91185

2320 Bath St
Ste 113
Santa Barbara, CA 93105
Phone (805) 560-8111

351 S Patterson Ave
Santa Barbara, CA 93111
Phone (805) 681-6406

2050 Viborg Rd
Solvang, CA 93463
Phone (805) 686-3961

1310 Las Tablas Rd
Ste 103
Templeton, CA 93465
Phone (805) 434-0829

1248 S Harbor City Blvd
Melbourne, FL 32901
Phone (435) 623-3165

350 E Devon Ave
Itasca, IL 60143

425 7th St NW
Cass Lake, MN 56633
Phone (218) 335-3200

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

1800 12th St
Meridian, MS 39301
Phone (601) 483-0011

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12922/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X M-10835 ID
Neuroradiology Physician 2085N0700X MD201699 LA
Neuroradiology Physician 2085N0700X 44627 TN
Neuroradiology Physician 2085N0700X ME85283 FL Yes

Addresses

Primary practice location

750 Old Hickory Blvd Ste 1-260
Brentwood, TN 37027-4528

Mailing address

750 Old Hickory Blvd Ste 1-260
Brentwood, TN 37027-4528
Phone (615) 376-7500

Other identifiers

IdentifierTypeStateIssuer
1514254MedicaidTN

Other providers in Brentwood, TN

All providers in Brentwood, TN · Neuroradiology Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.