Individual provider Active NPI

Itamar Simhon

  • Family Nurse Practitioner
  • College Park, MD
National Provider Identifier
1548774524
Registry record updated Sep 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R184486 Issued in MD
Practice address
9658 Baltimore Ave Ste 420
College Park, MD 20740
Phone
(301) 328-1996
NPI assigned
Nov 28, 2017
Last updated
Sep 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11038961 FL
Family Nurse Practitioner 363LF0000X R184486 MD Primary

Addresses

Primary practice location

9658 Baltimore Ave Ste 420
College Park, MD 20740

Mailing address

8 Vallingby Cir
Rockville, MD 20850-2762
Phone (301) 806-0361

Other practice location 1

8 Vallingby Cir
Rockville, MD 20850-2762
Phone (301) 806-0361

Other practice location 2

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 558-6648

Other practice location 3

60 Market St Ste 202
Gaithersburg, MD 20878-6559
Phone (301) 330-5666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180629000259 DC Practitioner - Nurse Practitioner 5092061341 Reassigns benefits to 2 organizations
I20240318002991 MD Practitioner - Nurse Practitioner 5092061341 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11038961FLMDNurse Practitioner
R184486MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Dec 5, 2023 Accepting new patients
Menocal Medical Services PA Current Accepting new patients
Terrapin Care Centers LLC CurrentSince Jun 1, 2018 Accepting new patients
Privia Care Center LLC Current Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 4, 2024 Accepting new patients
Privia Care Center LLC CurrentSince Jan 2, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 5, 2023 Accepting new patients
Ameri Drip, LLC Current Accepting new patients
Ameri Drip, LLC Current Accepting new patients
Jon M Sherman D.P.M PC PastSince Apr 20, 2003 Accepting new patients
Excelsia Physicians Group LLC PastSince Jun 1, 2018 Accepting new patients
Gaithersburg Foot and Ankle Surgery Center Past Accepting new patients

Locations

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

9658 Baltimore Ave
Ste 420
College Park, MD 20740
Phone (301) 220-1930

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

1201 Seven Locks Rd
Ste 212
Rockville, MD 20854
Phone (301) 217-0515

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757116800000",
    "number": "1548774524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 VALLINGBY CIR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502762",
            "telephone_number": "301-806-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9658 BALTIMORE AVE STE 420",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "20740",
            "telephone_number": "301-328-1996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Vallingby Cir",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208502762",
            "country_code": "US",
            "telephone_number": "301-806-0361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 N George Mason Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222053610",
            "country_code": "US",
            "telephone_number": "703-558-6648",
            "fax_number": "703-717-7325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Market St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208786559",
            "country_code": "US",
            "telephone_number": "301-330-5666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMHON",
        "first_name": "ITAMAR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-28",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11038961",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R184486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

Verify at the official NPI Registry.