Individual provider Active NPI

Justin S. Simonds, M.D.

  • Diagnostic Radiology Physician
  • Austin, TX
National Provider Identifier
1851467781
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME107009 Issued in FL
Practice address
12554 Riata Vista Cir
Austin, TX 78727-6431
Phone
(512) 795-5100
Fax
(512) 795-5122
NPI assigned
Nov 24, 2006
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X R0325 TX
Diagnostic Radiology Physician 2085R0202X 22767 ND
Diagnostic Radiology Physician 2085R0202X ME107009 FL Primary
Diagnostic Radiology Physician 2085R0202X 26464 AL
Diagnostic Radiology Physician 2085R0202X 0152 GA

Addresses

Primary practice location

12554 Riata Vista Cir
Austin, TX 78727-6431

Mailing address

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

Other practice location 1

705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 812-9297

Other practice location 2

2101 Pease St
Harlingen, TX 78550-8307
Phone (956) 389-6565

Other practice location 3

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200

Other identifiers 4

IdentifierTypeStateIssuer
148F5OtherFLBCBS OF FLORIDA
676105093COtherFLGA MEDICAID
P00851142OtherFLRR MEDICARE
002174200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, ND, AZ4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20100621000306 FL Practitioner - Diagnostic Radiology 3173676129 Reassigns benefits to 4 organizations
I20161013002286 TX Practitioner - Diagnostic Radiology 3173676129 Reassigns benefits to 6 organizations
I20251223004715 ND Practitioner - Diagnostic Radiology 3173676129 Reassigns benefits to 1 organization
I20251229001404 AZ Practitioner - Diagnostic Radiology 3173676129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford ClinicGroup PAC ID 0244143824, 268 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Concord Radiology PLLCGroup PAC ID 8628332061, 217 clinicians
ER Physician Group at Jackson HospitalGroup PAC ID 8729059472, 153 clinicians
Peterson Medical AssociatesGroup PAC ID 1355467887, 192 clinicians

Practice addresses (Care Compare)

Fargo, ND 58104
Phone (469) 677-7430

1560 Oakhurst Ave
Winter Park, FL 32789-2745
Phone (832) 355-4112

2400 Round Rock Ave
Round Rock, TX 78681-4004
Phone (713) 461-3573

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200

4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Phone (936) 569-9481

575 Hill Country Dr
Suite 101
Kerrville, TX 78028-6024
Phone (830) 258-7090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

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
22767NDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Imaging Partners of Tulsa LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Dec 5, 2016 Accepting new patients
Mt Graham Regional Medical Center Inc CurrentSince Oct 1, 2025 Accepting new patients
Sanford Clinic Diagnostic Radiology CurrentSince Nov 17, 2025 Accepting new patients
Imaging Partners of Tulsa LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
ER Physician Group at Jackson Hospital CurrentSince Aug 18, 2025 Accepting new patients
Mid Coast Health System CurrentSince Jul 1, 2021 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Dec 5, 2016 Accepting new patients
Singleton Associates PA Neuroradiology CurrentSince Jul 1, 2019 Accepting new patients
Concord Radiology PLLC Diagnostic Radiology CurrentSince Jul 6, 2021 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Austin Radiological Association CurrentSince Sep 28, 2016 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Dec 5, 2016 Accepting new patients
Peterson Medical Associates CurrentSince Aug 18, 2025 Accepting new patients
Mid Coast Health System CurrentSince Jul 1, 2021 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Dec 5, 2016 Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology Past Accepting new patients
Mt Graham Regional Medical Center Inc Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations (25 of 35)

1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000

4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200

4820 23rd Ave S
Fargo, ND 58104

11714 Wilson Parke Ave
Ste 175
Austin, TX 78726
Phone (512) 519-3457

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

1301 Barbara Jordan Blvd
Ste 104
Austin, TX 78723
Phone (512) 480-0761

1301 W 38th St
Ste 118
Austin, TX 78705
Phone (512) 454-7380

1701 W Ben White Blvd
Ste 170
Austin, TX 78704
Phone (512) 428-9090

2501 W William Cannon Dr
Bldg 5
Austin, TX 78745
Phone (512) 346-7311

4515 Seton Center Pkwy
Ste 105
Austin, TX 78759
Phone (512) 519-3402

5625 Eiger Rd
Ste 165
Austin, TX 78735
Phone (512) 519-3474

6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505

901 W 38th St
Ste 100
Austin, TX 78705
Phone (512) 519-3462

720 Avenue F N
Bay City, TX 77414
Phone (979) 245-6660

720 Avenue F N
Ste 2
Bay City, TX 77414
Phone (979) 245-4325

12800 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 485-7199

170 Benney Ln
Ste 101
Dripping Springs, TX 78620
Phone (512) 776-1176

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

3201 S Austin Ave
Ste 105
Georgetown, TX 78626
Phone (512) 863-4648

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 6

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": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1851467781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Dixie St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301173818",
            "country_code": "US",
            "telephone_number": "770-812-9297",
            "fax_number": "770-812-8755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Pease St",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785508307",
            "country_code": "US",
            "telephone_number": "956-389-6565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4250 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324461917",
            "country_code": "US",
            "telephone_number": "850-526-2200",
            "fax_number": "850-718-2844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONDS",
        "first_name": "JUSTIN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "R0325",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "22767",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME107009",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "26464",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "0152",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "148F5",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICAID",
            "identifier": "676105093C",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00851142",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002174200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.