Individual provider Active NPI

Michael Patrick Simons, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1881681534
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
32669 Issued in AZ
Practice address
9305 W Thomas Rd
Suite 380
Phoenix, AZ 85037-3328
Phone
(623) 327-4144
Fax
(623) 327-4140
NPI assigned
Sep 28, 2005
Last updated
Sep 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 32669 AZ Primary
Pulmonary Disease Physician 207RP1001X 32669 AZ

Addresses

Primary practice location

9305 W Thomas Rd
Suite 380
Phoenix, AZ 85037-3328

Mailing address

9305 W Thomas Rd
Suite 380
Phoenix, AZ 85037-3328
Phone (623) 327-4144

Other identifiers 1

IdentifierTypeStateIssuer
865082MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040522000314 AZ Practitioner - Critical Care (Intensivists) 8729079223 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC CurrentSince May 1, 2014 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Mar 1, 2012 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Mar 1, 2012 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Critical Care Medicine CurrentSince May 1, 2014 Accepting new patients
Sun Health MRI Center Past Accepting new patients
Arizona Specialty Physicians Past Accepting new patients

Locations

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1515 N 9th St
Ste D
Phoenix, AZ 85006
Phone (602) 252-6855

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

9305 W Thomas Rd
Ste 380
Phoenix, AZ 85037
Phone (623) 327-4144

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1127865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1881681534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD",
            "address_2": "SUITE 380",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373328",
            "telephone_number": "623-327-4144",
            "fax_number": "623-327-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD",
            "address_2": "SUITE 380",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373328",
            "telephone_number": "623-327-4144",
            "fax_number": "623-327-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-28",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "32669",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "32669",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "865082",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.