Simon P Mboudou, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

K6648 Issued in TX

Practice address

3513 W Alberta Rd
Edinburg, TX 78539-8466

Phone

(956) 664-9771

Fax

(956) 664-9773

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Anesthesiology

Education

University of Texas Medical School at Houston, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLCGroup PAC ID 7012045685, 86 clinicians

Clinical Associates, IncGroup PAC ID 8325217904, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mission Regional Medical Center Hospital, Mission, TX, CCN 450176

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Clinical Associates, Inc

  • Certified Registered Nurse Anesthetist
  • Grapevine, TX
  • NPI 1518265966
  Medicare reassignment Care Compare group
• Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC

  • Anesthesiology Physician
  • McAllen, TX
  • NPI 1346570355
  Medicare reassignment Care Compare group
• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897
  Medicare reassignment NPD
• Clinical Anesthesia Consultants LLC

  • Certified Registered Nurse Anesthetist
  • Grapevine, TX
  • NPI 1952026163
  NPD (past)

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

• Mission Hospital, Inc

  dba Mission Regional Medical Center

  • Rehabilitation Hospital
  • Mission, TX
  • NPI 1508895079
  Care Compare affiliation
• Mission Hospital, Inc.

  dba Mission Regional Medical Center

  • General Acute Care Hospital
  • Mission, TX
  • NPI 1205833985
  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912931965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720550",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785040550",
            "telephone_number": "956-664-9771",
            "fax_number": "956-664-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3513 W ALBERTA RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398466",
            "telephone_number": "956-664-9771",
            "fax_number": "956-664-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBOUDOU",
        "first_name": "SIMON",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K6648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Matias
• Cesar A Matos-Martinez, MD
• Max Primary Home Care LLC.
• Noeme Maxwell, LVN
• Alvaro Mayorga, CRNA
• MC Dental Care of Edinburg 2, PLLC (Prestige Family Dentistry)
• MC Dental Care of Edinburg, PLLC (Jimenez Family Dentistry)
• McAllen Anesthesia Consultants
• McAllen Anesthesia Consultants, PA
• McAllen Anesthesia Consultants, PA

• Anesthesiology Physician in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.