Simon S Tan, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

L2023 Issued in TX

Practice address

241 W Southlake Blvd Ste 140
Southlake, TX 76092-7041

Phone

(817) 488-0100

Fax

(817) 488-4568

NPI assigned

Aug 19, 2006

Last updated

Oct 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, WA, MD, PA, OR, SC, WV, VA8 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 8

Specialty

Neurology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Surgical Neuromonitoring,PLLCGroup PAC ID 9537341003, 6 clinicians

Oversite NeuroGroup PAC ID 5890193114, 7 clinicians

Txiom LLCGroup PAC ID 3678839735, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott and White Surgical Hospital Fortworth Hospital, Fort Worth, TX, CCN 450880
• University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063
• Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008
• Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
• Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/FBCGCA/Endpoint/FBCGCA
• Direct secure messaging: simon.tan@sstmd.eclinicaldirectplus.com
• Direct secure messaging: stan914020@direct.umm.edu

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.

• Oversite Neuro

  • Clinical Neurophysiology Physician
  • Lindale, TX
  • NPI 1629747753
  Medicare reassignment Care Compare group NPD
• Simon S Tan, MD PA

  • Neurology Physician
  • Southlake, TX
  • NPI 1326152851
  Medicare reassignment NPD Authorized official
• Surgical Neuromonitoring,PLLC

  • Electrodiagnostic Medicine Physician
  • Bellevue, WA
  • NPI 1124338025

  MD, Neurology, OR, PA, SC, TX, VA, WV

  Medicare reassignment Care Compare group NPD
• P37 Iom

  • Specialist
  • Euless, TX
  • NPI 1689075095
  Medicare reassignment Care Compare group
• Forefront Medical Solutions, LLC.

  • Electroneurodiagnostic Specialist/Technologist
  • North Richland Hills, TX
  • NPI 1063043503
  Medicare reassignment NPD
• Lisbon Tech LLC

  dba The Hand Surgery Clinic

  • Surgery of the Hand (Surgery) Physician
  • Dallas, TX
  • NPI 1780110684

  Clinical Neurophysiology

  Medicare reassignment NPD
• Neurocare Centre of North Texas, PLLC

  • Neurology Physician
  • Southlake, TX
  • NPI 1104344688
  Authorized official Same address or phone
• Amb Eeg LLC

  • Physiological Laboratory
  • Colleyville, TX
  • NPI 1629584552
  NPD
• Neuline Health Management LLC

  dba NeuLine Health

  • Physiological Laboratory
  • McKinney, TX
  • NPI 1528507795
  NPD
• Briley Solutions LLC

  dba Elite Neuromonitoring Solutions

  • Electroneurodiagnostic Specialist/Technologist
  • Lake Dallas, TX
  • NPI 1427534064
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Surgical Neuromonitoring Associates, Inc.

  • Surgical Technologist
  • Pittsburgh, PA
  • NPI 1962585091
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor Scott & White Medical Centers - Greater North Texas

  dba Baylor Scott & White Medical Center - McKinney

  • General Acute Care Hospital
  • McKinney, TX
  • NPI 1124305065
  Care Compare affiliation
• Fort Worth Surgicare Partners LTD

  dba Baylor Surgical Hospital at Fort Worth Outpatient Center

  • Special Hospital
  • Fort Worth, TX
  • NPI 1568883775
  Care Compare affiliation
• Fort Worth Surgicare Partners, LTD.

  dba Baylor Scott & White Surgical Hospital - Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1871599183
  Care Compare affiliation
• Mercy Medical Center Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1144282583
  Care Compare affiliation
• Tidalhealth Peninsula Regional, Inc.

  • General Acute Care Hospital
  • Salisbury, MD
  • NPI 1780689463
  Care Compare affiliation
• University of Maryland St. Joseph Medical Center, LLC

  dba University of Maryland St. Joseph Medical Center

  • General Acute Care Hospital
  • Towson, MD
  • NPI 1124374079
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1811001365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W SOUTHLAKE BLVD STE 140",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927041",
            "telephone_number": "817-488-0100",
            "fax_number": "817-488-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 W SOUTHLAKE BLVD STE 140",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927041",
            "telephone_number": "817-488-0100",
            "fax_number": "817-488-4568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 S Coronado Ave",
            "address_purpose": "LOCATION",
            "city": "Espanola",
            "state": "NM",
            "postal_code": "875322792",
            "country_code": "US",
            "telephone_number": "412-406-7692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6425 Living Pl Fl 2",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152065122",
            "country_code": "US",
            "telephone_number": "412-406-7692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10900 NE 4th St Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980045882",
            "country_code": "US",
            "telephone_number": "412-406-7692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "SIMON",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "TX",
            "license": "L2023",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L2023",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "L2023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace K Szymanski, MT-BC
• Christina Marie Taglieri, FNP-C, RN, LVN
• Kathrene A Tajnert, M.D.
• Tami L.Hannaman, O.D., P.a.
• Chynna Marianne Tan
• Sarah Marie Tapia
• Tate Family Dentistry, PA
• John Michael Tate, D.D.S.
• John Tyler Tate, D.D.S.
• Kent Alan Taub, MD

• Neurology Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.