Individual provider Active NPI

Simon G. Ho, MD

  • Pain Medicine (Anesthesiology) Physician
  • Crown Point, IN
National Provider Identifier
1457552200
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
01070829A Issued in IN
Practice address
11420 Broadway
Crown Point, IN 46307-7106
Phone
(219) 476-7246
Fax
(219) 476-1713
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 01070829A IN Primary

Addresses

Primary practice location

11420 Broadway
Crown Point, IN 46307-7106

Mailing address

2211 Roosevelt Rd
Valparaiso, IN 46383-2748
Phone (219) 476-7246

Other practice location 1

1928 45th St
Munster, IN 46321-3917
Phone (219) 476-7246 ext. 321

Other practice location 2

2211 Roosevelt Rd
Valparaiso, IN 46383-2748
Phone (219) 476-7246 ext. 321

Other practice location 3

204 Legacy Plz W
LA Porte, IN 46350-5285
Phone (219) 476-7246 ext. 321

Other practice location 4

11420 Broadway
Crown Point, IN 46307-7106
Phone (219) 476-7246 ext. 321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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
I20080915000436 IL Practitioner - AnesthesiologyPractitioner - Pain Management 3476654427 Reassigns benefits to 2 organizations
I20120531000237 IN Practitioner - Pain ManagementPractitioner - Anesthesiology 3476654427 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Pain Control, IncGroup PAC ID 7416019450, 24 clinicians

Practice addresses (Care Compare)

201 Main St
Hobart, IN 46342-4439
Phone 2194767246321

Hospital & facility affiliations

  • Community Hospital Hospital, Munster, IN, CCN 150125

Merit-based Incentive Payment System (MIPS)

Final score
91.1 of 100Reported as individual
Quality
70.58
Promoting interoperability
100
Improvement activities
40
Cost
73.1

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Trustees of the University of Illinois Pain Medicine CurrentSince Aug 16, 2008 Accepting new patients
Centers for Pain Control, Inc Pain Medicine CurrentSince Apr 26, 2012 Accepting new patients
Interventional Pain Management LLC CurrentSince Jan 22, 2017 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 16, 2008 Accepting new patients
Centers for Pain Control, Inc CurrentSince Apr 26, 2012 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Health Benefits Physicians Services LLC Past Accepting new patients
Centers for Pain Control Inc. Past Accepting new patients
East River Medical Associates P.C. PastSince Jun 30, 2024 Accepting new patients

Locations

1740 W Taylor St
#3200
Chicago, IL 60612
Phone (312) 996-4021

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1855 W Taylor St
#648
Chicago, IL 60612
Phone (312) 996-6582

25 E Washington St
Ste 1329
Chicago, IL 60602
Phone (312) 332-5108

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

7732 Solutions Ctr
Chicago, IL 60677

11420 Broadway
Crown Point, IN 46307
Phone (219) 661-8680

201 Main St
Hobart, IN 46342
Phone 2194767246 ext. 321

201 Main St
Ste A
Hobart, IN 46342
Phone 2194767246321

208 Legacy Plz W
Laporte, IN 46350
Phone (219) 326-7246

204 Legacy Plz W
Laporte, IN 46350
Phone (219) 326-7246

1924 45th St
Munster, IN 46321
Phone 2194767246321

1928 45th St
Munster, IN 46321
Phone 2194767246 ext. 321

Interoperability endpoints

  • Direct secure messaging: simon.ho.1@16383.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1457552200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 ROOSEVELT RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832748",
            "telephone_number": "219-476-7246",
            "fax_number": "219-476-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 BROADWAY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077106",
            "telephone_number": "219-476-7246",
            "fax_number": "219-476-1713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1928 45th St",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463213917",
            "country_code": "US",
            "telephone_number": "219-476-7246 x321",
            "fax_number": "219-476-1713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463832748",
            "country_code": "US",
            "telephone_number": "219-476-7246 x321",
            "fax_number": "219-476-1713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Legacy Plz W",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463505285",
            "country_code": "US",
            "telephone_number": "219-476-7246 x321",
            "fax_number": "219-476-1713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11420 Broadway",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463077106",
            "country_code": "US",
            "telephone_number": "219-476-7246 x321",
            "fax_number": "219-476-1713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "SIMON",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "01070829A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.