NPIMap

Individual provider Active NPI

Josef B Simon, MD

  • Orthopaedic Surgery of the Spine Physician
  • Cambridge, MA
National Provider Identifier
1366638710
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
233987 Issued in MA
Practice address
300 Mount Auburn St
Suite 505
Cambridge, MA 02138-5600
Phone
(617) 491-6766
Fax
(617) 491-2552
NPI assigned
Sep 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 233987 MA Primary

Addresses

Primary practice location

300 Mount Auburn St
Suite 505
Cambridge, MA 02138-5600

Mailing address

20 Guest St Ste 225
Brighton, MA 02135-2065
Phone (617) 738-8642

Other practice location 1

20 Guest St Ste 225
Brighton, MA 02135-2065
Phone (617) 738-8642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20090924000110 MA Practitioner - Orthopedic Surgery 8921154451 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Harvard Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Excel Orthopaedic SpecialistsGroup PAC ID 0648241414, 46 clinicians
Mount Auburn Professional Services IncGroup PAC ID 6103725031, 229 clinicians

Practice addresses (Care Compare)

200 Unicorn Park Dr
Suite 201
Woburn, MA 01801-3342
Phone (781) 782-1300

300 Mount Auburn St
Cambridge, MA 02138-5600
Phone (614) 499-2925

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion163
Laminectomy or laminotomy (partial removal of spine bones)112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233987MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Auburn Professional Services CurrentSince Oct 28, 2023 Accepting new patients
Mount Auburn Professional Services Inc CurrentSince Oct 28, 2023 Accepting new patients
Excel Orthopaedic Specialists Orthopaedic Surgery CurrentSince Mar 1, 2018 Accepting new patients
Pro Sports Orthopedics, Inc Orthopaedic Surgery Current Accepting new patients
Boston Orthopaedic and Spine LLC Orthopaedic Surgery CurrentSince Apr 1, 2020 Accepting new patients
Mount Auburn Hospital Past Accepting new patients
Excel Orthopaedic Specialists Inc Past Accepting new patients
Excel Orthopaedic Specialists Inc Past Accepting new patients

Locations

20 Guest St
Ste 225
Brighton, MA 02135
Phone (617) 586-1900

300 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5025

300 Mount Auburn St
Ste 505
Cambridge, MA 02138
Phone (617) 491-6766

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

200 Unicorn Park Dr
Ste 201
Woburn, MA 01801
Phone (781) 782-1300

Interoperability endpoints

  • Direct secure messaging: josef.simon@eos.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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 7

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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1366638710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GUEST ST STE 225",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352065",
            "telephone_number": "617-738-8642",
            "fax_number": "617-202-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MOUNT AUBURN ST",
            "address_2": "SUITE 505",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385600",
            "telephone_number": "617-491-6766",
            "fax_number": "617-491-2552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Guest St Ste 225",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021352065",
            "country_code": "US",
            "telephone_number": "617-738-8642",
            "fax_number": "617-202-4172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JOSEF",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MA",
            "license": "233987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.