Active NPI
David M Simon, M.D.
- Infectious Disease Physician
- Chicago, IL
National Provider Identifier
1891756698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 036074714
- Practice address
- 600 S Paulina St
Suite 143
Chicago, IL 60612-3806 - Phone
- (312) 942-2061
- Fax
- (312) 942-2184
- NPI assigned
- Mar 31, 2006
- Last updated
- Jul 23, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 036074714 | IL | Primary |
Addresses
Primary practice location
600 S Paulina St
Suite 143
Chicago, IL 60612-3806
Mailing address
PO Box 239D
Park Ridge, IL 60068-8018
Phone (847) 759-1560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 440003646 | Other | IL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Infectious Disease Specialists of Chicago | Infectious Disease | Past | Accepting new patients |
| Palos Anesthesia Associates, S.C | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Infectious Disease Physician
- Chicago, IL
- NPI 1194786574
-
- Anesthesiology Physician
- Palos Heights, IL
- NPI 1659345791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248307200000",
"number": "1891756698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 239D",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600688018",
"telephone_number": "847-759-1560",
"fax_number": "847-803-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S PAULINA ST",
"address_2": "SUITE 143",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123806",
"telephone_number": "312-942-2061",
"fax_number": "312-942-2184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "DAVID",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2009-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IL",
"license": "036074714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "440003646",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.