Active NPI
Barry George Simon, M.D.
- Pulmonary Disease Physician
- Washington, DC
National Provider Identifier
1790895241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- D0036758
- Practice address
- 1111 20TH St NW
5TH Floor
Washington, DC 20526-0001 - Phone
- (202) 692-1509
- Fax
- (202) 692-5118
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | D0036758 | MD | Primary |
| Pulmonary Disease Physician | 207RP1001X | MD17338 | DC |
Addresses
Primary practice location
1111 20TH St NW
5TH Floor
Washington, DC 20526-0001
Mailing address
12605 Lincolnshire Dr
Potomac, MD 20854-2361
Phone (301) 529-6607
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0425490 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17338 | DC | MD | Pulmonary Disease Physician |
| D0036758 | MD | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Jerome S. Putnam, MD, PC | Pulmonary Disease | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Pulmonary Disease Physician
- Chevy Chase, MD
- NPI 1033229505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239321600000",
"number": "1790895241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12605 LINCOLNSHIRE DR",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208542361",
"telephone_number": "301-529-6607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 20TH ST NW",
"address_2": "5TH FLOOR",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "205260001",
"telephone_number": "202-692-1509",
"fax_number": "202-692-5118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "BARRY",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2009-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MD",
"license": "D0036758",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "DC",
"license": "MD17338",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0425490",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.