Individual provider Active NPI

Harold E. Simon, M. D.

  • Internal Medicine Physician
  • Pell City, AL
National Provider Identifier
1740392471
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8352 Issued in AL
Practice address
7054 Veterans Pkwy
Pell City, AL 35125-5117
Phone
(205) 227-7988
Fax
(205) 227-7996
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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 8352 AL Primary

Addresses

Primary practice location

7054 Veterans Pkwy
Pell City, AL 35125-5117

Mailing address

3740 Saint Clair Forest Rd
Moody, AL 35004-2513
Phone (205) 640-3401

Other practice location 1

4941 Montevallo Rd
Irondale, AL 35210-2418
Phone (205) 956-2184 ext. 101

Other practice location 2

7054 Veterans Pkwy
Pell City, AL 35125-5117
Phone (205) 956-2184 ext. 101

Other identifiers 5

IdentifierTypeStateIssuer
051033865OtherALBLUE CROSS OF ALABAMA
102I111375OtherMEDICARE
000033865MedicaidAL
051597816OtherBCBS AL
8352OtherALLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20090720000212 AL Practitioner - Internal Medicine 7416009618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7054 Veterans Pkwy
Pell City, AL 35125-5117
Phone (205) 314-4119

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physician Services LLC Past Accepting new patients
E. Todd Falls, DPM, LLC Past Accepting new patients
Red Mountain Internists PC Internal Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/

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 4

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1740392471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 SAINT CLAIR FOREST RD",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350042513",
            "telephone_number": "205-640-3401",
            "fax_number": "205-702-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7054 VETERANS PKWY",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351255117",
            "telephone_number": "205-227-7988",
            "fax_number": "205-227-7996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4941 Montevallo Rd",
            "address_purpose": "LOCATION",
            "city": "Irondale",
            "state": "AL",
            "postal_code": "352102418",
            "country_code": "US",
            "telephone_number": "205-956-2184 x101",
            "fax_number": "205-912-8830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7054 Veterans Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pell City",
            "state": "AL",
            "postal_code": "351255117",
            "country_code": "US",
            "telephone_number": "205-956-2184 x101",
            "fax_number": "205-912-8830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "HAROLD",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "8352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ALABAMA",
            "identifier": "051033865",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "102I111375",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000033865",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "051597816",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "8352",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

Verify at the official NPI Registry.