Individual provider Active NPI

Simon Georges Rizk, M.D.

  • Cardiovascular Disease Physician
  • Pascagoula, MS
National Provider Identifier
1720092877
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
19420 Issued in MS
Practice address
4300 Hospital St
Suite 103
Pascagoula, MS 39581-5329
Phone
(228) 762-7875
Fax
(228) 762-7876
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 19420 MS Primary

Addresses

Primary practice location

4300 Hospital St
Suite 103
Pascagoula, MS 39581-5329

Mailing address

4300 Hospital St
Suite 103
Pascagoula, MS 39581-5329
Phone (228) 762-7875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20070111000519 MS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1850391020 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

Practice addresses (Care Compare)

2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 809-5000

4300 Hospital St
Suite 103
Pascagoula, MS 39581-5329
Phone (228) 762-7875

Hospital & facility affiliations

  • Singing River Health System Hospital, Pascagoula, MS, CCN 250040
  • Singing River Gulfport Hospital, Gulfport, MS, CCN 250123

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System CurrentSince May 1, 2024 Accepting new patients
Mississippi Cardiovascular Center of Excellence, LLC Cardiovascular Disease CurrentSince Aug 1, 2022 Accepting new patients
The Heart Center, P.L.L.C Cardiovascular Disease CurrentSince Nov 1, 2006 Accepting new patients

Locations

2012 Highway 90
Ste 2
Gautier, MS 39553
Phone (228) 300-3007

3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

4300 Hospital St
Ste 103
Pascagoula, MS 39581
Phone (228) 762-7875

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1720092877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 HOSPITAL ST",
            "address_2": "SUITE 103",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815329",
            "telephone_number": "228-762-7875",
            "fax_number": "228-762-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 HOSPITAL ST",
            "address_2": "SUITE 103",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815329",
            "telephone_number": "228-762-7875",
            "fax_number": "228-762-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZK",
        "first_name": "SIMON",
        "middle_name": "GEORGES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "19420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.