Organization Active NPI

Simon MD PA

  • Neurology Physician
  • Miami, FL
National Provider Identifier
1376806554
Registry record updated Mar 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME112149 Issued in FL
Legal business name
SIMON MD PA
Practice address
8700 W Flagler St Ste 420
Miami, FL 33174-2546
Phone
(305) 608-0656
Fax
(786) 254-7084
NPI assigned
Jun 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2026

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

Authorized official

Name
Dr. Jose Miguel Simon Canellas, MDNPI 1730370768
Title
President
Phone
(305) 608-0656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X ME112149 FL Primary
Clinical Neurophysiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0600X ME112149 FL

Addresses

Primary practice location

8700 W Flagler St Ste 420
Miami, FL 33174-2546

Mailing address

PO Box 831975
Miami, FL 33283-1975
Phone (305) 608-0656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121102000146 FL Part B Supplier - Clinic/Group Practice 5294985081 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

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": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773532800000",
    "number": "1376806554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 831975",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332831975",
            "telephone_number": "305-608-0656",
            "fax_number": "786-254-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 W FLAGLER ST STE 420",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742546",
            "telephone_number": "305-608-0656",
            "fax_number": "786-254-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2026-03-15",
        "certification_date": "2026-03-15",
        "status": "A",
        "authorized_official_last_name": "SIMON CANELLAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-608-0656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME112149",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "FL",
            "license": "ME112149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.