Ryan David Simonak, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

Q2949 Issued in TX

Practice address

7510 N Beach St
Fort Worth, TX 76137-1505

Phone

(817) 498-1818

Fax

(817) 581-3761

NPI assigned

Jun 26, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family Practice

Education

University of North Texas HSC, College of Osteopathic Med, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fossil Creek Family Medical CenterGroup PAC ID 8224001268, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Classic Home Care Home health agency, Arlington, TX, CCN 747434
• DFW Home Health Home health agency, Fort Worth, TX, CCN 457575
• Medical City Alliance Hospital, Fort Worth, TX, CCN 670103
• Texas Health Harris Methodist Hospital Alliance Hospital, Fort Worth, TX, CCN 670085

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Fossil Creek Family Medical Center

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1639267982
  Medicare reassignment Care Compare group NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• John E. Emmel, MD, PC

  dba Geriatric Facility Care Specialists

  • Geriatric Medicine (Family Medicine) Physician
  • Charleston, SC
  • NPI 1235263534
  NPD (past)

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

• LHCG Xxxiii, LLC

  dba DFW Home Health

  • Home Health Agency
  • Fort Worth, TX
  • NPI 1619237310
  Care Compare affiliation
• North Texas - Mca LLC

  dba Medical City Alliance

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1871911016
  Care Compare affiliation
• SLH Health Corp

  dba Classic Home Care

  • Home Health Agency
  • Arlington, TX
  • NPI 1699900498
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Alliance

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1215296884
  Care Compare affiliation

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1871721993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371505",
            "telephone_number": "817-498-1818",
            "fax_number": "817-581-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371505",
            "telephone_number": "817-498-1818",
            "fax_number": "817-581-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONAK",
        "first_name": "RYAN",
        "middle_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL1273",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q2949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Simon
• Patrick Sajous Simon, PHARMD
• Sherry Beth Simon, R.D.N./L.D.
• Brady Putnam Simonak, D.O.
• David Wayne Simonak, D.O.
• Duncan Forrest Simoneaux, DPT
• Rose S Simonian, MD
• Charles Leverne Simons
• Elasha Simonton, MS, LPC
• Simple Sleep Services

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.