Active NPI
Simon Paul Carlson, M.D.
- Diagnostic Radiology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- M9196
- 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, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197038606 | Medicaid | TX | |
| 2849 | Other | DC | B/C B/S |
| J062 | Other | MD | B/C B/S |
| 197038604 | Medicaid | TX | |
| 409116700 | Medicaid | MD | |
| KA80 | Other | MD | B/C B/S |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, HI, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Franciscan Health Crown Point
- Franciscan Health Michigan City
- Franciscan Health Lafayette
- Franciscan Health Munster
- Franciscan Health Dyer
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0063079 | MD | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clermont Radiology LLC | Current | Accepting new patients | |
| Clermont Radiology LLC | Current | Accepting new patients | |
| Round Rock Imaging LLC | Current | Accepting new patients | |
| Preferred Imaging of Mesquite LLC | Diagnostic Radiology | Current | Accepting new patients |
| Preferred Imaging of McKinney, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Preferred Open MRI, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Preferred Imaging of Austin LLC | Diagnostic Radiology | Current | Accepting new patients |
| Preferred Imaging of Grapevine/Colleyville, LLC | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Preferred Imaging of Corinth, LLC | Current | Accepting new patients | |
| Preferred Imaging of Plano, LLC | Current | 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 | Past | 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
- 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.
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1699072611
HI, NC, TX
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Austin, TX
- NPI 1437542818
Diagnostic Radiology
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Corinth, TX
- NPI 1831328392
-
- Radiology Clinic/Center
- Grapevine, TX
- NPI 1518040369
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- McKinney, TX
- NPI 1205180650
Diagnostic Radiology
-
- Radiology Clinic/Center
- Mesquite, TX
- NPI 1184085532
Diagnostic Radiology
-
- Radiology Clinic/Center
- Plano, TX
- NPI 1861575615
-
dba Clermont Radiology-Kings Ridge
- Radiology Clinic/Center
- Clermont, FL
- NPI 1003328642
-
- Radiology Clinic/Center
- Clermont, FL
- NPI 1033426622
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
dba Franciscan Health Dyer
- General Acute Care Hospital
- Dyer, IN
- NPI 1811077431
-
dba Franciscan St. Elizabeth Health
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
-
dba Franciscan Health Michigan City at La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.