Pernell Joseph Simon, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

021638 Issued in LA

Practice address

207 Westmark Blvd
Lafayette, LA 70506-7365

Phone

(337) 981-6811

Fax

(337) 981-2024

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Family Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Acadian Homecare, LLC Home health agency, Lafayette, LA, CCN 197060
• Elara Caring Home health agency, Opelousas, LA, CCN 197062
• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Lafayette Health Ventures Inc

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1417986092
  Medicare reassignment Care Compare group NPD
• Lafayette Health Ventures Inc

  • Anesthesiology Physician
  • Jennings, LA
  • NPI 1063124568
  NPD
• Lafayette Health Ventures, Inc

  • Internal Medicine Physician
  • Lafayette, LA
  • NPI 1467687186
  NPD
• Acadiana Ambulatory Health Care Services, Inc.

  • General Practice Physician
  • Lafayette, LA
  • NPI 1235324831
  NPD (past)
• Lafayette Health Ventures, Inc

  • Neurology Physician
  • Lafayette, LA
  • NPI 1568492841
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Acadian Homecare, LLC

  • Home Health Agency
  • Lafayette, LA
  • NPI 1275580151
  Care Compare affiliation
• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  Care Compare affiliation
• Louisiana Home Healthcare Partners, LLC

  • Home Health Agency
  • Opelousas, LA
  • NPI 1619901626
  Care Compare affiliation

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1699878124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 WESTMARK BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067365",
            "telephone_number": "337-981-6811",
            "fax_number": "337-981-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 WESTMARK BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067365",
            "telephone_number": "337-981-6811",
            "fax_number": "337-981-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "PERNELL",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "021638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Simon Delone, LMSW
• Brandon Todd Simon, DPT
• Chelsea Renea Simon, M.S., CCC-SLP.
• Katelyn Denise Simon
• Paula L. Simon, CRNA
• Randi Renee Simon
• Stacey Simon, NNP-BC
• Valerie Simon
• Whitney Simon, CCC-SLP
• Curley Joseph Simpson Jr., LMFT

• General Practice Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.