Individual provider Active NPI

Matthias Simon, M.D., PH.D.

  • Nephrology Physician
  • Live Oak, TX
National Provider Identifier
1508950130
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M5509 Issued in TX
Practice address
11481 Toepperwein Rd Ste 1202
Live Oak, TX 78233-3146
Phone
(210) 655-8470
Fax
(210) 967-0276
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01061565A IN
Nephrology Physician 207RN0300X M5509 TX Primary

Addresses

Primary practice location

11481 Toepperwein Rd Ste 1202
Live Oak, TX 78233-3146

Mailing address

16620 N US Highway 281 Ste 300
San Antonio, TX 78232-2679
Phone (210) 614-1231

Other identifiers 2

IdentifierTypeStateIssuer
192929103MedicaidTX
00414UOtherTXGROUP PTAN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070613000401 TX Practitioner - NephrologyPractitioner - NeurologyPractitioner - Internal Medicine 2668570722 Reassigns benefits to 1 organization
Practice locations: San Antonio, TX; Schertz, TX

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renal Associates, P.a.Group PAC ID 8729070628, 40 clinicians

Practice addresses (Care Compare)

11481 Toepperwein Rd
Suite 1202
Live Oak, TX 78233-3146
Phone (210) 655-8470

Hospital & facility affiliations

  • FKC Schertz Dialysis facility, Schertz, TX, CCN 742568
  • Kidney Disease Clinic of Uvalde Dialysis facility, Uvalde, TX, CCN 452540
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Uvalde Memorial Hospital Hospital, Uvalde, TX, CCN 451387

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01061565AINMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: matthias.simon@ra.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1508950130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16620 N US HIGHWAY 281 STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322679",
            "telephone_number": "210-614-1231",
            "fax_number": "210-499-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11481 TOEPPERWEIN RD STE 1202",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333146",
            "telephone_number": "210-655-8470",
            "fax_number": "210-967-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "MATTHIAS",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01061565A",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M5509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192929103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "00414U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.