Individual provider Active NPI

Barry Kirk Simon, M.D.

  • Diagnostic Radiology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1730168477
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME31919 Issued in FL
Practice address
2979 Pga Blvd
Suite 100
Palm Beach Gardens, FL 33410-2911
Phone
(561) 275-7670
Fax
(561) 802-5330
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME31919 FL Primary

Addresses

Primary practice location

2979 Pga Blvd
Suite 100
Palm Beach Gardens, FL 33410-2911

Mailing address

2979 Pga Blvd
Suite 200
Palm Beach Gardens, FL 33410-2911
Phone (561) 275-7604

Other identifiers 2

IdentifierTypeStateIssuer
P00621517OtherFLRAILROAD MEDICARE
069350200MedicaidFL

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
I20060105000391 FL Practitioner - Diagnostic Radiology 9931122975 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tulane University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Centers of America, LLPGroup PAC ID 0547174120, 108 clinicians

Practice addresses (Care Compare)

3601 Pga Blvd
Suite 100
Palm Beach Gardens, FL 33410-2711
Phone (561) 496-6935

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31919FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Jun 26, 2025 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Jun 26, 2025 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Mar 4, 2020 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Mar 4, 2020 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Independent Imaging LLC CurrentSince Mar 11, 2017 Accepting new patients
Independent Imaging, LLC CurrentSince Mar 11, 2017 Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Past Accepting new patients
Diagnostic Breast Center Past Accepting new patients
Boca Radiology Group PA Diagnostic Radiology Past Accepting new patients

Locations

2999 NE 191st St
Ste 103
Aventura, FL 33180
Phone (305) 692-2222

6080 Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 736-3227

1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400

5051 S Congress Ave
Lake Worth Beach, FL 33461
Phone (561) 345-7575

2820 NE 214th St
Miami, FL 33180
Phone (786) 691-4151

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

3601 Pga Blvd
Ste 100
Palm Beach Gardens, FL 33410

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

3347 S State Road 7
Ste 100
Wellington, FL 33449
Phone (561) 795-5558

2229 N Commerce Pkwy
Ste 150
Weston, FL 33326
Phone (954) 349-0054

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 11

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1730168477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 PGA BLVD",
            "address_2": "SUITE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102911",
            "telephone_number": "561-275-7604",
            "fax_number": "561-802-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 PGA BLVD",
            "address_2": "SUITE 100",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102911",
            "telephone_number": "561-275-7670",
            "fax_number": "561-802-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "BARRY",
        "middle_name": "KIRK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME31919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00621517",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069350200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.