Individual provider Active NPI

Margo Simon

  • Internal Medicine Physician
  • Warrensville Heights, OH
National Provider Identifier
1487000642
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.013695 Issued in OH
Practice address
20000 Harvard Ave
Warrensville Heights, OH 44122-6805
Phone
(216) 491-6000
NPI assigned
May 6, 2016
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 34.013695 OH
Internal Medicine Physician 207R00000X 34.013695 OH Primary

Addresses

Primary practice location

20000 Harvard Ave
Warrensville Heights, OH 44122-6805

Mailing address

20000 Harvard Ave
Warrensville Heights, OH 44122-6805
Phone (216) 491-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, ID2 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
I20190910002145 OH Practitioner - Internal Medicine 8426340696 Reassigns benefits to 2 organizations
I20200904000596 ID Practitioner - Internal Medicine 8426340696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-9384

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.013695OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
North Coast Professional Company, LLC CurrentSince Jan 25, 2023 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Sep 1, 2019 Accepting new patients
St Luke's Clinic LLC Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
North Coast Professional Company, LLC Internal Medicine CurrentSince Jan 25, 2023 Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230

801 Pole Line Rd W
Twin Falls, ID 83301
Phone (208) 814-1000

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-6000

11100 Euclid Ave
Cleveland Heights, OH 44106

7590 Auburn Rd
Concord Township, OH 44077
Phone (440) 354-1899

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Interoperability endpoints

  • Direct secure messaging: msimon38013@ehrdirect.uhhospitals.org
  • Direct secure messaging: msimon658372@direct.bsmhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1487000642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20000 HARVARD AVE",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441226805",
            "telephone_number": "216-491-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20000 HARVARD AVE",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441226805",
            "telephone_number": "216-491-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "MARGO",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "34.013695",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.013695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

Verify at the official NPI Registry.