Active NPI
Michael Simon, M.D.
- Pulmonary Disease Physician
- Fall River, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 291140
- Practice address
- 1030 President Ave Ste 210
Fall River, MA 02720-5928 - Phone
- (508) 973-1780
- Fax
- (508) 973-7338
- NPI assigned
- Apr 20, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | LP04894 | RI | |
| Pulmonary Disease Physician | 207RP1001X | 291140 | MA | Primary |
Addresses
Primary practice location
1030 President Ave Ste 210
Fall River, MA 02720-5928
Mailing address
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-8410
Other practice location 1
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-8410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- George Washington University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Page St
New Bedford, MA 02740-3464
Phone (508) 973-5919
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP04894 | RI | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Single Specialty | Current | Accepting new patients |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Southcoast Hospitals Group, Inc | Single Specialty | Past | Accepting new patients |
Locations
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052
1030 President Ave
Ste 210
Fall River, MA 02720
Phone (508) 235-6277
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
Interoperability endpoints
- msimon63264@direct.southcoast.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
Single Specialty
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
-
dba Charlton Memorial Hospital
- General Acute Care Hospital
- Fall River, MA
- NPI 1306871223
Single Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tobey Hospital
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
-
- Community Based Hospice Care Agency
- Fairhaven, MA
- NPI 1801990452
-
- General Acute Care Hospital
- Newport, RI
- NPI 1457346413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1366896912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-8410",
"fax_number": "401-444-5914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 PRESIDENT AVE STE 210",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027205928",
"telephone_number": "508-973-1780",
"fax_number": "508-973-7338"
}
],
"practiceLocations": [
{
"address_1": "593 Eddy St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029034923",
"country_code": "US",
"telephone_number": "401-444-8410",
"fax_number": "401-444-5914",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMON",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-20",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "RI",
"license": "LP04894",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "291140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.