Active NPI
David H. Simon, M.D.
- Pediatric Nephrology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- License
- M4546
- Practice address
- 1301 Barbara Jordan Blvd Ste 200
Austin, TX 78723-3078 - Phone
- (512) 628-1860
- Fax
- (512) 628-1861
- NPI assigned
- Jul 10, 2006
- Last updated
- Apr 8, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nephrology Physician | 2080P0210X | M4546 | TX | Primary |
Addresses
Primary practice location
1301 Barbara Jordan Blvd Ste 200
Austin, TX 78723-3078
Mailing address
1301 Barbara Jordan Blvd Ste 200
Austin, TX 78723-3078
Phone (512) 628-1860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183044001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Miami, LM Miller School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 Barbara Jordan Blvd
Austin, TX 78723-3078
4900 Mueller Blvd
Austin, TX 78723-3051
Phone (512) 324-0000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M4546 | TX | MD | Pediatric Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dell Children's Medical Group | Current | Accepting new patients | |
| Dell Children's Medical Group | Pediatric Nephrology | Current | Accepting new patients |
Locations
1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800
Interoperability endpoints
- david.simon.1@8363.direct.athenahealth.com
Organizations & group practices 2
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.
-
dba Dell Children's Medical Group Sleep Center
- Sleep Disorder Diagnostic Clinic/Center
- Austin, TX
- NPI 1124748249
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Children's Dialysis Clinic of Central Texas
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Austin, TX
- NPI 1275553687
Dialysis facility
-
dba Dell Children's Medical CNTR North
- Children's Hospital
- Austin, TX
- NPI 1447355771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365379200000",
"number": "1386678993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233078",
"telephone_number": "512-628-1860",
"fax_number": "512-628-1861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233078",
"telephone_number": "512-628-1860",
"fax_number": "512-628-1861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "DAVID",
"middle_name": "H.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2013-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "TX",
"license": "M4546",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183044001",
"state": "TX"
}
],
"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 8, 2013; 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.