Individual provider Active NPI

Simon Paul Carlson, M.D.

  • Diagnostic Radiology Physician
  • Austin, TX
National Provider Identifier
1386617223
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M9196 Issued in TX
Practice address
2200 Park Bend Dr BLDG 2
Austin, TX 78758-5387
Phone
(512) 351-8386
NPI assigned
Feb 10, 2006
Last updated
Apr 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0063079 MD
Diagnostic Radiology Physician 2085R0202X M9196 TX Primary

Addresses

Primary practice location

2200 Park Bend Dr BLDG 2
Austin, TX 78758-5387

Mailing address

2200 Park Bend Dr BLDG 2
Austin, TX 78758-5387
Phone (512) 351-8386

Other identifiers 6

IdentifierTypeStateIssuer
197038606MedicaidTX
2849OtherDCB/C B/S
J062OtherMDB/C B/S
197038604MedicaidTX
409116700MedicaidMD
KA80OtherMDB/C B/S

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, HI, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20081018000066 TX Practitioner - Diagnostic Radiology 6709803067 Reassigns benefits to 2 organizations
I20200417000992 HI Practitioner - Diagnostic Radiology 6709803067 Reassigns benefits to 2 organizations
I20210618000850 NC Practitioner - Diagnostic Radiology 6709803067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians

Practice addresses (Care Compare)

130 Kahoma Village Loop
Lahaina, HI 96761-2763
Phone (219) 767-6320

5820 Berkman Dr
Apt 203
Austin, TX 78723-2600
Phone (888) 501-6087

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0063079MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clermont Radiology LLC CurrentSince Jul 27, 2026 Accepting new patients
Clermont Radiology LLC CurrentSince Jul 27, 2026 Accepting new patients
Round Rock Imaging LLC CurrentSince Aug 4, 2026 Accepting new patients
Preferred Imaging of Mesquite LLC Diagnostic Radiology CurrentSince Aug 4, 2026 Accepting new patients
Preferred Imaging of McKinney, LLC Diagnostic Radiology CurrentSince Aug 4, 2026 Accepting new patients
Preferred Open MRI, LLC Diagnostic Radiology CurrentSince Aug 4, 2026 Accepting new patients
Preferred Imaging of Austin LLC Diagnostic Radiology CurrentSince Aug 4, 2026 Accepting new patients
Preferred Imaging of Grapevine/Colleyville, LLC CurrentSince Aug 4, 2026 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Apr 1, 2018 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Oct 8, 2020 Accepting new patients
Preferred Imaging of Corinth, LLC CurrentSince Aug 4, 2026 Accepting new patients
Preferred Imaging of Plano, LLC CurrentSince Aug 4, 2026 Accepting new patients
Radiology Group LLC Diagnostic Radiology Past Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Innovative Radiology PA Diagnostic Radiology PastSince May 1, 2015 Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
Parkview Hospital Past Accepting new patients
Franciscan Physician Network Past Accepting new patients

Locations

1357 Kapiolani Blvd
Ste 830
Honolulu, HI 96814

1710 Lafayette Rd
Ste 104
Crawfordsville, IN 47933
Phone (765) 362-2800

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

1201 S Main St
Ste 1
Crown Point, IN 46307

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524

701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200

1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026

2411 Laporte Ave
Valparaiso, IN 46383
Phone (219) 476-7226

3201 Highway 71 E
Bastrop, TX 78602
Phone (512) 321-8200

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

13333 Northwest Fwy
Ste 540
Houston, TX 77040
Phone (281) 962-3608

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

8633 Broadway St
Ste 109
Pearland, TX 77584
Phone (281) 412-3916

Interoperability endpoints

  • Direct secure messaging: scarlson531214@direct.franciscanalliance.org

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 6

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1386617223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR BLDG 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585387",
            "telephone_number": "512-351-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR BLDG 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585387",
            "telephone_number": "512-351-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "SIMON",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0063079",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M9196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197038606",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S",
            "identifier": "2849",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S",
            "identifier": "J062",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197038604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409116700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S",
            "identifier": "KA80",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.