Individual provider Active NPI

Reema Elalam Simon, DO

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1639531395
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS16186 Issued in FL
Practice address
12410 N Nebraska Ave
Tampa, FL 33612-5352
Phone
(813) 397-5300
Fax
(813) 738-9010
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS16186 FL Primary

Addresses

Primary practice location

12410 N Nebraska Ave
Tampa, FL 33612-5352

Mailing address

PO Box 82969
Tampa, FL 33682-2969
Phone (813) 866-0930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190927001372 FL Practitioner - Family Practice 0749575512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Family Health Centers IncGroup PAC ID 1254243769, 66 clinicians

Practice addresses (Care Compare)

1502 E Fowler Ave
Tampa, FL 33612-5416
Phone (813) 397-5300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Family Health Centers Inc CurrentSince Sep 3, 2019 Accepting new patients
Tampa Family Health Centers, Inc CurrentSince Sep 3, 2019 Accepting new patients

Locations

1212 E Bearss Ave
Lutz, FL 33549
Phone (813) 398-5300

19203 N Dale Mabry Hwy
Lutz, FL 33548

12085 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 852-5270

4620 N 22nd St
Tampa, FL 33610
Phone (813) 272-6240

5611 Sheldon Rd
Tampa, FL 33615
Phone (813) 397-5320

1502 E Fowler Ave
Tampa, FL 33612
Phone (813) 866-0950

302 W Fletcher Ave
Tampa, FL 33612

2727 W Mlk Blvd
Ste 100
Tampa, FL 33607
Phone (813) 357-5900

6216 E Sligh Ave
Tampa, FL 33617
Phone (813) 549-8060

7814 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 405-3939

8108 N Nebraska Ave
Tampa, FL 33604
Phone (813) 712-1930

8213 W Waters Ave
Tampa, FL 33615
Phone (813) 490-5420

4422 E Columbus Dr
Tampa, FL 33605
Phone (813) 384-4000

12410 N Nebraska Ave
Tampa, FL 33612

2727 W Mlk Blvd
Ste 630
Tampa, FL 33607
Phone (813) 876-6000

7608 Causeway Blvd
Tampa, FL 33619
Phone (813) 405-3710

3901 S West Shore Blvd
Tampa, FL 33611
Phone (813) 712-1940

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1639531395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82969",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336822969",
            "telephone_number": "813-866-0930",
            "fax_number": "813-405-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12410 N NEBRASKA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125352",
            "telephone_number": "813-397-5300",
            "fax_number": "813-738-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "REEMA",
        "middle_name": "ELALAM",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS16186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.