Simonmed Imaging Florida LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SIMONMED IMAGING FLORIDA LLC

Doing business as

Simonmed Imaging Tampa

Practice address

14302 Bruce B Downs Blvd
Tampa, FL 33613-2601

Phone

(813) 979-7580

NPI assigned

Nov 14, 2011

Last updated

Aug 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Howard John Simon, MDNPI 1073583068

Title

Ceo/Owner

Phone

(602) 809-6623

Specialties & licenses 2

Addresses

Other identifiers 18

Other names 1

• SIMONMED IMAGING TAMPA Doing business as

Medicare fee-for-service enrollment

Enrolled in FL, KY, WA, NC, MA, CA, NJ, CO, NV, AZ, TX, VA, NY, OH, PA, HI, IL, CT, DC, AK, IN, MN, PR, UT, NH, GA, TN, MI, VT, OR, MO, AL, ID, NM, AR, SC, MD, RI, WV, WY, KS, NE, IA, LA44 enrollments

Enrollment records 44

Other NPIs on the same Medicare enrollment 38

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Simonmed Imaging Florida LLC

  dba Simonmed Imaging Altamonte III

  • Diagnostic Radiology Physician
  • Altamonte Springs, FL
  • NPI 1023688090

  O20120320000846

  Same enrollment
• Simonmed Imaging Florida LLC

  dba Simonmed Imaging Winter Park

  • Diagnostic Radiology Physician
  • Winter Park, FL
  • NPI 1023688967

  O20120320000846

  Same enrollment
• Simonmed Imaging Florida LLC

  dba Simonmed Imaging Longwood

  • Diagnostic Radiology Physician
  • Longwood, FL
  • NPI 1033789011

  O20120320000846

  Same enrollment
• Simonmed Imaging Florida LLC

  dba Simonmed Imaging Winter Park III

  • Diagnostic Radiology Physician
  • Winter Park, FL
  • NPI 1043983752

  O20120320000846

  Same enrollment
• Simonmed Imaging Florida LLC

  dba Simonmed Imaging Sarasota

  • Diagnostic Radiology Physician
  • Lakewood Ranch, FL
  • NPI 1053981027

  O20120320000846

  Same enrollment
• Simonmed Imaging Florida LLC

  dba Simonmed Imaging Brandon

  • Diagnostic Radiology Physician
  • Brandon, FL
  • NPI 1063041655

  O20120320000846

  Same enrollment
• Simonmed Imaging Florida LLC

  dba Simonmed Imaging Lake Mary II

  • Diagnostic Radiology Physician
  • Lake Mary, FL
  • NPI 1073183042

  O20120320000846

  Same enrollment
• Simonmed Imaging Florida LLC

  dba Simonmed Imaging Naples

  • Diagnostic Radiology Physician
  • Naples, FL
  • NPI 1083284061

  O20120320000846

  Same enrollment
• Simonmed Imaging Florida LLC

  dba Simonmed Imaging Sarasota Springs

  • Diagnostic Radiology Physician
  • Sarasota, FL
  • NPI 1093485773

  O20120320000846

  Same enrollment
• Simonmed Imaging Florida LLC

  dba Simonmed Imaging Park South

  • Diagnostic Radiology Physician
  • Bradenton, FL
  • NPI 1114597184

  O20120320000846

  Same enrollment
• Simonmed Imaging Florida LLC

  dba Simonmed Imaging Lake Nona

  • Diagnostic Radiology Physician
  • Orlando, FL
  • NPI 1144976093

  O20120320000846

  Same enrollment
• Simonmed Imaging Florida LLC

  dba Simonmed Imaging Boynton Beach

  • Diagnostic Radiology Physician
  • Boynton Beach, FL
  • NPI 1194395038

  O20120320000846

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations (25 of 29)

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners 535

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy M Abrahamsen, M.D.

  • Diagnostic Radiology Physician
  • St Petersburg, FL
  • NPI 1184705295
  Medicare reassignment Care Compare group NPD
• Marlon B Adler, MD

  • Vascular & Interventional Radiology Physician
  • Melbourne, FL
  • NPI 1356359269

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Edgardo Alberto Agrait-Bertran, M.D.

  • Diagnostic Radiology Physician
  • Jacksonville, FL
  • NPI 1952618324
  Medicare reassignment Care Compare group NPD
• Idan Alkalay, MD

  • Diagnostic Radiology Physician
  • Miami, FL
  • NPI 1114129293
  Medicare reassignment Care Compare group NPD
• Temoor Sajjad Anwar, MD

  • Vascular & Interventional Radiology Physician
  • Melbourne, FL
  • NPI 1487851812

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Jack L Berger, M.D.

  • Diagnostic Radiology Physician
  • Orlando, FL
  • NPI 1710984240
  Medicare reassignment Care Compare group NPD
• John Bertozzi, M.D.

  • Diagnostic Radiology Physician
  • St Petersburg, FL
  • NPI 1326230095
  Medicare reassignment Care Compare group NPD
• Penelope Block, M.D.

  • Diagnostic Radiology Physician
  • Orange City, FL
  • NPI 1285962068

  TN

  Medicare reassignment Care Compare group NPD
• Rachel Helen Braunstein, M.D.

  • Diagnostic Radiology Physician
  • Miami Beach, FL
  • NPI 1851353924
  Medicare reassignment Care Compare group NPD
• Matthew Phillip Brill, D.O.

  • Diagnostic Radiology Physician
  • Atlantis, FL
  • NPI 1184993776
  Medicare reassignment Care Compare group NPD
• Thomas Larry Brown Sr., M.D.

  • Diagnostic Radiology Physician
  • Gulf Breeze, FL
  • NPI 1053383786
  Medicare reassignment Care Compare group NPD
• Latoya Brownlee, DMSC, PA-C

  • Physician Assistant
  • Temple Terrace, FL
  • NPI 1831782705
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1477830818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 E CAMELBACK RD STE 700",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512400",
            "telephone_number": "480-306-6949",
            "fax_number": "602-302-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14302 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132601",
            "telephone_number": "813-979-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMONMED IMAGING FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "602-809-6623",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004602901",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIMONMED IMAGING OCOEE II",
            "identifier": "FW240",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIMONMED IMAGING SUN CITY",
            "identifier": "FW240A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004602906",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004602909",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004602910",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIMONMED IMAGING POINCIANA",
            "identifier": "FW240",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIMONMED IMAGING LAKE MARY II",
            "identifier": "FW240",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIMONMED IMAGING LONGWOOD",
            "identifier": "FW240",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIMONMED IMAGING CLERMONT",
            "identifier": "FW240",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004602902",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004602905",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004602907",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004602908",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DS5839",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIMONMED IMAGING TAMPA",
            "identifier": "FW240",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004602903",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004602904",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIMONMED IMAGING TAMPA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Simon, LPN/NRP
• Carissa Simone, M.D.
• Isabella Marie Simone
• Karla Simonet
• Yariliz Simonetty-Velez
• Simonmed Imaging Florida LLC (Simonmed Imaging Macdill)
• Simonmed Imaging Florida LLC (Simonmed Imaging Carrollwood)
• Simonsmiles, P.a. (Playa Family Dentistry)
• April Leigh Simonson, APRN, FNP-C, EMT-P
• Denise Elaine Simpers, RNFA

• Diagnostic Radiology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.