Individual provider Active NPI

Della Jayne Simon, M.D.

  • Internal Medicine Physician
  • Asheville, NC
National Provider Identifier
1609850965
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200100957 Issued in NC
Practice address
100 Far Horizons LN
Asheville, NC 28803-2046
Phone
(828) 771-2219
Fax
(828) 771-2634
NPI assigned
Nov 30, 2005
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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 200100957 NC Primary

Addresses

Primary practice location

100 Far Horizons LN
Asheville, NC 28803-2046

Mailing address

100 Far Horizons LN
Asheville, NC 28803-2046
Phone (828) 771-2219

Other identifiers 2

IdentifierTypeStateIssuer
1609850965MedicaidNC
129VWOtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080414000341 NC Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5092892133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University of South Florida College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MemorycareGroup PAC ID 9537105010, 8 clinicians

Practice addresses (Care Compare)

100 Far Horizons LN
Asheville, NC 28803-2046
Phone (828) 771-2219

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue11
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorycare CurrentSince Sep 3, 2019 Accepting new patients
Asheville Hospitalist Group Internal Medicine Past Accepting new patients

Locations

100 Far Horizons Ln
Asheville, NC 28803
Phone (828) 771-2219

Organizations & group practices 2

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1609850965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FAR HORIZONS LN",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032046",
            "telephone_number": "828-771-2219",
            "fax_number": "828-771-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FAR HORIZONS LN",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032046",
            "telephone_number": "828-771-2219",
            "fax_number": "828-771-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "DELLA",
        "middle_name": "JAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200100957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609850965",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "129VW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.