Timothy M Simon, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E2969 Issued in AR

Practice address

906 Roberts Dr
Monticello, AR 71655-5724

Phone

(870) 367-6867

Fax

(870) 367-1461

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Family Practice

Education

University of Arkansas College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jefferson Hospital Association, IncGroup PAC ID 8123927431, 80 clinicians

Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Home Health Network-Drew County Home health agency, Monticello, AR, CCN 047082
• Acmc Family Home Health Home health agency, Crossett, AR, CCN 047109
• Kindred at Home Home health agency, Monticello, AR, CCN 047818
• Bradley County Medical Center Home Health Agency Home health agency, Warren, AR, CCN 047140
• Hospice Home Care of Monticello Hospice, Monticello, AR, CCN 041523
• Arkansas Hospice Inc Hospice, North Little Rock, AR, CCN 041564
• Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071
• Baptist Health Medical Center-Drew County Hospital, Monticello, AR, CCN 040051
• Ashley County Medical Center Hospital, Crossett, AR, CCN 041323
• Bradley County Medical Center Hospital, Warren, AR, CCN 041327
• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
• Nightingale at Stonegate Nursing home, Crossett, AR, CCN 045437
• Belle View Estates Rehabilitation and Care Center Nursing home, Monticello, AR, CCN 045239
• The Woods, a Nightingale Community Nursing home, Monticello, AR, CCN 045176
• Nightingale at Crossett Nursing home, Crossett, AR, CCN 045190

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GFBDAD

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Crossett Healthcare LLC

  • Skilled Nursing Facility
  • Crossett, AR
  • NPI 1043949522

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Stonegate Healthcare LLC

  • Skilled Nursing Facility
  • Crossett, AR
  • NPI 1942939426

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• The Woods Healthcare LLC

  • Skilled Nursing Facility
  • Monticello, AR
  • NPI 1487383964

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Arkansas Health Group

  • Internal Medicine Physician
  • Maumelle, AR
  • NPI 1932118890
  Medicare reassignment Care Compare group NPD
• Jefferson Hospital Association, Inc

  • Pulmonary Disease Physician
  • Pine Bluff, AR
  • NPI 1932157674
  Medicare reassignment Care Compare group NPD
• Arkansas Health Group

  • Surgery Physician
  • Stuttgart, AR
  • NPI 1952840555
  NPD
• Jefferson Hospital Assn, Inc.

  • Surgery Physician
  • Pine Bluff, AR
  • NPI 1962753574
  NPD
• Jefferson Hospital Association, Inc

  • Rural Health Clinic/Center
  • Crossett, AR
  • NPI 1225799646

  Family Medicine

  NPD
• Monticello Medical Clinic, PLC

  • Family Medicine Physician
  • Star City, AR
  • NPI 1982193975
  NPD
• Delta Counseling Associates Inc

  • Community/Behavioral Health Agency
  • Monticello, AR
  • NPI 1053364612
  NPD (past)

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

• Arkansas Homecare of Forrest City, LLC

  • Home Health Agency
  • Crossett, AR
  • NPI 1821661299
  Care Compare affiliation
• Arkansas Hospice, Inc.

  • Community Based Hospice Care Agency
  • North Little Rock, AR
  • NPI 1689657470
  Care Compare affiliation
• Baptist Health

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682
  Care Compare affiliation
• Baptist Health

  • Home Health Agency
  • Monticello, AR
  • NPI 1760263990
  Care Compare affiliation
• Baptist Health

  • General Acute Care Hospital
  • Monticello, AR
  • NPI 1962283192
  Care Compare affiliation
• Bradley County Medical Center

  • Home Health Agency
  • Warren, AR
  • NPI 1184750507
  Care Compare affiliation
• Bradley County Medical Center

  • Critical Access Hospital
  • Warren, AR
  • NPI 1194741611
  Care Compare affiliation
• Crossett Health Foundation

  • Critical Access Hospital
  • Crossett, AR
  • NPI 1952308215
  Care Compare affiliation
• Crossett Healthcare LLC

  • Skilled Nursing Facility
  • Crossett, AR
  • NPI 1043949522

  Nursing home

  Care Compare affiliation
• Drew SNF Operations LLC

  • Skilled Nursing Facility
  • Monticello, AR
  • NPI 1992013189

  Nursing home

  Care Compare affiliation
• Hospice Home Care, LLC

  • Community Based Hospice Care Agency
  • Monticello, AR
  • NPI 1114065018
  Care Compare affiliation
• Jefferson Hospital Association Inc

  • General Acute Care Hospital
  • Pine Bluff, AR
  • NPI 1710931985
  Care Compare affiliation

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1376523316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 ROBERTS DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555724",
            "telephone_number": "870-367-6867",
            "fax_number": "870-367-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 ROBERTS DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555724",
            "telephone_number": "870-367-6867",
            "fax_number": "870-367-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E2969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "1927600000",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145158001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle A Shirey, LPN
• Kelly Dean Shrum, DO
• Lani Simmons
• Vanessa Simmons
• Sylvia Simon, M.D.
• Elaine M Simpson, QBHP
• Cheyenne Sizemore
• Brian Wayne Smith, PHARMD
• Dadrian Smith
• Emily L Walker Smith

• Family Medicine Physician in Monticello, AR
• Providers in Monticello, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.