Individual provider Active NPI

Simon P Paul, MD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1720194434
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24945 Issued in AZ
Practice address
7383 E Tanque Verde Rd
Tucson, AZ 85715-3475
Phone
(520) 318-3434
Fax
(520) 318-3435
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2013

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 24945 AZ Primary

Addresses

Primary practice location

7383 E Tanque Verde Rd
Tucson, AZ 85715-3475

Mailing address

PO Box 43160
Tucson, AZ 85733-3160
Phone (520) 722-3777

Other identifiers 1

IdentifierTypeStateIssuer
389602MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040308001140 AZ Practitioner - Internal Medicine 9436047776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-2775

7220 E Rosewood St
Tucson, AZ 85710-1350
Phone (520) 901-5502

7383 E Tanque Verde Rd
Tucson, AZ 85715-3475

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • Encompass Health Rehabilitation Institute of Tucso Inpatient rehabilitation facility, Tucson, AZ, CCN 033028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24945AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simon P.K. Paul, MD, PLLC Internal Medicine CurrentSince Jun 8, 2002 Accepting new patients
Banner-University Medical Group Family Medicine Past Accepting new patients
Hospitalists of Arizona, Inc Internal Medicine Past Accepting new patients
Tucson Medical Center Past Accepting new patients

Locations

7383 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 318-3434

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

Organizations & group practices 4

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 2

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1720194434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333160",
            "telephone_number": "520-722-3777",
            "fax_number": "520-296-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7383 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153475",
            "telephone_number": "520-318-3434",
            "fax_number": "520-318-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "SIMON",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "24945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "389602",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.