Individual provider Active NPI

Arthur Kalathara Simon, MD

  • Family Medicine Physician
  • Rochester, MN
National Provider Identifier
1396373254
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
79792 Issued in MN
Practice address
132 17TH Ave NW
Rochester, MN 55901-0321
Phone
(507) 292-7411
NPI assigned
Mar 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 323625 NY
Family Medicine Physician 207Q00000X 79792 MN Primary

Addresses

Primary practice location

132 17TH Ave NW
Rochester, MN 55901-0321

Mailing address

132 17TH Ave NW
Rochester, MN 55901-0321
Phone (507) 292-7411

Other names 1

  • Arthur Simon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230927001416 NY Practitioner - Family Practice 0244656403 Reassigns benefits to 2 organizations
I20250628000342 MN Practitioner - Family Practice 0244656403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians

Practice addresses (Care Compare)

210 9TH St SE
Rochester, MN 55904-6425
Phone (507) 288-3443

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olmsted Medical Center CurrentSince Jul 1, 2025 Accepting new patients
North Shore - Lij Medical PC CurrentSince Aug 2, 2023 Accepting new patients
North Shore-Lij Medical PC Family Medicine CurrentSince Aug 2, 2023 Accepting new patients
North Shore Lij, Urgent Care, P.C. CurrentSince Sep 29, 2023 Accepting new patients
Olmsted Medical Center CurrentSince Jul 1, 2025 Accepting new patients

Locations

132 17th Ave NW
Rochester, MN 55901
Phone (507) 292-7411

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

10229 Queens Blvd
Forest Hills, NY 11375
Phone (516) 858-3723

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

8002 Kew Gardens Rd
Ste 403
Kew Gardens, NY 11415
Phone (929) 485-0300

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

265 Sunrise Hwy
Ste 20
Rockville Ctr, NY 11570
Phone (516) 268-0270

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1396373254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 17TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010321",
            "telephone_number": "507-292-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 17TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010321",
            "telephone_number": "507-292-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "ARTHUR",
        "middle_name": "KALATHARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "323625",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "79792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARTHUR",
            "last_name": "SIMON",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.