Individual provider Active NPI

Chad Michael Simon, MD

  • Otolaryngology Physician
  • Houma, LA
National Provider Identifier
1871797464
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD.203774 Issued in LA
Practice address
505 Dunn St
Houma, LA 70360-4705
Phone
(985) 872-0423
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD.203774 LA Primary

Addresses

Primary practice location

505 Dunn St
Houma, LA 70360-4705

Mailing address

505 Dunn St
Houma, LA 70360-4705
Phone (985) 872-0423

Other identifiers 1

IdentifierTypeStateIssuer
2796416797OtherMYUTMB 2796416797-COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20110113000956 LA Practitioner - Otolaryngology 4587853023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Louisiana State University School of Medicine in New Orleans, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hagen ENT Clinic ApmcGroup PAC ID 2163444654, 3 clinicians

Practice addresses (Care Compare)

505 Dunn St
Houma, LA 70360-4705
Phone (985) 872-0423

Hospital & facility affiliations

  • Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hagen ENT Clinic Apmc Otolaryngology CurrentSince Nov 13, 2010 Accepting new patients

Locations

505 Dunn St
Houma, LA 70360
Phone (504) 872-0423

1125 Audubon Ave
Thibodaux, LA 70301
Phone (985) 448-1030

Interoperability endpoints

  • Direct secure messaging: chad.simon.1@32441.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1871797464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 DUNN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604705",
            "telephone_number": "985-872-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 DUNN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604705",
            "telephone_number": "985-872-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "CHAD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "MD.203774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 2796416797-COMMERCIAL NUMBER",
            "identifier": "2796416797",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.