Individual provider Active NPI

Alan A Simeone, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Chattanooga, TN
National Provider Identifier
1760563613
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
59222 Issued in TN
Practice address
2525 Desales Ave Ste F1009
Chattanooga, TN 37404-1161
Phone
(423) 697-2000
Fax
(423) 697-2118
NPI assigned
Oct 18, 2006
Last updated
Apr 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X MD00047735 WA
Trauma Surgery Physician 2086S0127X MD00047735 WA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35 126676 OH
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD00047735 WA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 56485 GA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 59222 TN Primary

Addresses

Primary practice location

2525 Desales Ave Ste F1009
Chattanooga, TN 37404-1161

Mailing address

2501 Citico Ave
Chattanooga, TN 37404-1127
Phone (423) 697-2000

Other practice location 1

3130 Highland Ave
Cincinnati, OH 45219-2399
Phone (513) 475-8521

Other practice location 2

1436 Broadrick Dr Ste B
Dalton, GA 30720-3009
Phone (706) 226-3434

Other identifiers 2

IdentifierTypeStateIssuer
05078049MedicaidMS
8491128MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OH, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190612002617 TN Practitioner - Cardiac Surgery 9032182019 Reassigns benefits to 1 organization
I20220908003408 OH Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 9032182019
I20230421000560 GA Practitioner - Thoracic SurgeryPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Surgery 9032182019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery, Cardiovascular Disease (Cardiology)
Education
Eastern Virginia Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Physician Group, IncGroup PAC ID 4789708553, 120 clinicians

Practice addresses (Care Compare)

1436 Broadrick Dr
Suite B
Dalton, GA 30720-3009
Phone (706) 226-3434

6031 Shallowford Rd
Suite 117
Chattanooga, TN 37421-1984
Phone (423) 498-3570

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physician Group Inc CurrentSince May 1, 2023 Accepting new patients
University Surgery Associates, PLLC Trauma Surgery Past Accepting new patients
Pacific Surgical PC Past Accepting new patients
Hamilton Medical Center, Inc. Past Accepting new patients

Locations

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

2525 Desales Ave
Ste F1009
Chattanooga, TN 37404
Phone (423) 624-5200

6031 Shallowford Rd
Ste 117
Chattanooga, TN 37421
Phone (423) 495-9581

Interoperability endpoints

  • Direct secure messaging: asimeone20017@hhcs.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1760563613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CITICO AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041127",
            "telephone_number": "423-697-2000",
            "fax_number": "423-697-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 DESALES AVE STE F1009",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041161",
            "telephone_number": "423-697-2000",
            "fax_number": "423-697-2118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192399",
            "country_code": "US",
            "telephone_number": "513-475-8521",
            "fax_number": "513-475-7480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1436 Broadrick Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307203009",
            "country_code": "US",
            "telephone_number": "706-226-3434",
            "fax_number": "706-226-4820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMEONE",
        "first_name": "ALAN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "WA",
            "license": "MD00047735",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "WA",
            "license": "MD00047735",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35 126676",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WA",
            "license": "MD00047735",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "56485",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TN",
            "license": "59222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05078049",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8491128",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.