NPIMap

Individual provider Active NPI

Norman J. Simon, D.O.

  • Rheumatology Physician
  • Saint Louis, MO
National Provider Identifier
1932266897
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
118946 Issued in MO
Practice address
1035 Bellevue Ave Ste 500
Saint Louis, MO 63117-1843
Phone
(314) 925-4770
NPI assigned
Jan 2, 2007
Last updated
Nov 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X OP 60474745 WA
Rheumatology Physician 207RR0500X 118946 MO Primary

Addresses

Primary practice location

1035 Bellevue Ave Ste 500
Saint Louis, MO 63117-1843

Mailing address

PO Box 955534
Saint Louis, MO 63195-5534

Other practice location 1

515 Minor Ave
Floor 3
Seattle, WA 98104-2120
Phone (206) 386-9500

Other identifiers 1

IdentifierTypeStateIssuer
244634903MedicaidMO

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address nsimon406557@direct-her-ssmhc.com Direct
Direct Messaging Address nsimon1043264@wm.providencedirect.org
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041025000018 MO Practitioner - Rheumatology 6406817386 Reassigns benefits to 1 organization
I20190311000399 TX Practitioner - RheumatologyPractitioner - Internal Medicine 6406817386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians

Practice addresses (Care Compare)

1035 Bellevue Ave
Suite 500
Saint Louis, MO 63117-1843
Phone (314) 925-4770

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
118946MOMDRheumatology Physician
OP 60474745WAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Constortium CurrentSince Feb 20, 2019 Accepting new patients
SSM Medical Group Inc. CurrentSince Nov 1, 2021 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Feb 20, 2019 Accepting new patients
SSM Medical Group, Inc. Rheumatology CurrentSince Nov 1, 2021 Accepting new patients
Ozarks Medical Center Rheumatology Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
Swedish Medical Center-Radia Issaquah Imaging Center LLC Past Accepting new patients

Locations

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8519

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100

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.

Hospital & facility affiliations 5

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1932266897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955534",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631955534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 BELLEVUE AVE STE 500",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171843",
            "telephone_number": "314-925-4770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Minor Ave",
            "address_2": "Floor 3",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981042120",
            "country_code": "US",
            "telephone_number": "206-386-9500",
            "fax_number": "206-386-9605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "NORMAN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WA",
            "license": "OP 60474745",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MO",
            "license": "118946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "244634903",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nsimon406557@direct-her-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "nsimon406557@direct-her-ssmhc.com",
            "address_1": "1035 Bellevue Ave Ste 500",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631171843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nsimon1043264@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "5350 Tallman Ave NW Ste 420",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981075902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1035 Bellevue Ave Ste 500",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631171843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.