NPIMap

Organization Active NPI

Smi Imaging LLC

  • Diagnostic Radiology Physician
  • Littleton, CO
National Provider Identifier
1376189258
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SMI IMAGING LLC
Practice address
7903 S Broadway Ste a
Littleton, CO 80122-2712
Phone
(720) 449-8800
NPI assigned
Nov 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Howard John Simon, MD
Title
Ceo
Phone
(480) 478-6545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

7903 S Broadway Ste a
Littleton, CO 80122-2712

Mailing address

6900 E Camelback Rd Ste 700
Scottsdale, AZ 85251-2400
Phone (866) 614-8555

Other names 1

  • SIMONMED IMAGING Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181015000140 CO Part B Supplier - Clinic/Group Practice 3476696220 Receives reassigned benefits from 31 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Parker, CO; Monument, CO; Littleton, CO; Castle Rock, CO; Golden, CO; Denver, CO; Colorado Springs, CO; Arvada, CO…

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2167727Smi Imaging, LLC, Dba Simonmed Imaging - Littleton7903 S Broadway, Ste a, Littleton, CO 80122Certificate of waiverJun 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
Simonmed Imaging58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

7903 S Broadway
Ste A
Littleton, CO 80122
Phone (720) 449-8800

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1376189258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 E CAMELBACK RD STE 700",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512400",
            "telephone_number": "866-614-8555",
            "fax_number": "602-302-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7903 S BROADWAY STE A",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222712",
            "telephone_number": "720-449-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMI IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-478-6545",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIMONMED IMAGING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SIMONMED IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.