NPIMap

Individual provider Active NPI

Simon Gebara, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1518078906
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J9045 Issued in TX
Practice address
2500 Fondren Rd
Houston, TX 77063-2319
Phone
(713) 781-4600
Fax
(713) 917-5780
NPI assigned
Aug 31, 2006
Last updated
Dec 17, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J9045 TX Primary

Addresses

Primary practice location

2500 Fondren Rd
Houston, TX 77063-2319

Mailing address

2500 Fondren Rd
Houston, TX 77063-2319
Phone (713) 781-4600

Other identifiers 1

IdentifierTypeStateIssuer
0471559-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100603000348 TX Practitioner - Internal Medicine 2567355563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hillcroft Medical Clinic AssociationGroup PAC ID 8527056068, 23 clinicians

Practice addresses (Care Compare)

2500 Fondren Rd
Suite 209
Houston, TX 77063-2313
Phone (713) 781-4600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J9045TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hillcroft Medical Clinic Association Internal Medicine CurrentSince Sep 1, 1995 Accepting new patients

Locations

2500 Fondren Rd
Houston, TX 77063
Phone (832) 252-8055

2500 Fondren Rd
Ste 201
Houston, TX 77063

2500 Fondren Rd
Ste 209
Houston, TX 77063
Phone (281) 565-8800

2500 Fondren Rd
Ste 250
Houston, TX 77063

2500 Fondren Rd
Ste 260
Houston, TX 77063

7700 Main St
Ste 320
Houston, TX 77030
Phone (346) 277-5391

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1518078906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 FONDREN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632319",
            "telephone_number": "713-781-4600",
            "fax_number": "713-917-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 FONDREN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632319",
            "telephone_number": "713-781-4600",
            "fax_number": "713-917-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBARA",
        "first_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0471559-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.