Individual provider Active NPI

William C Simon, D.O.

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1952352007
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0523854 Issued in KS
Practice address
10616 W Maple St Ste 500
Wichita, KS 67209-4404
Phone
(316) 500-1250
Fax
(833) 764-5987
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0523854 KS Primary

Addresses

Primary practice location

10616 W Maple St Ste 500
Wichita, KS 67209-4404

Mailing address

10616 W Maple St Ste 500
Wichita, KS 67209-4404
Phone (316) 500-1250

Other identifiers 2

IdentifierTypeStateIssuer
100232380CMedicaidKS
103295OtherKSBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20031205000390 KS Practitioner - Family Practice 7517871478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Market Health Care LLC 6 clinicians
House Call Medical Services 2 clinicians
Select Rehabilitation, LLC 1,935 clinicians

Practice addresses (Care Compare)

2131 N Ridge Rd
Wichita, KS 67212-1570
Phone 3167731212601

245 N Waco St
Suite 220
Wichita, KS 67202-1102
Phone (316) 722-2138

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

  • Phoenix Home Care Home health agency, Wichita, KS, CCN 178012
  • Phoenix Home Care & Hospice Hospice, Wichita, KS, CCN 171585
  • Specialized Home Care & Hospice Hospice, Wichita, KS, CCN 171620
  • Providence Home Health & Hospice LLC Hospice, Wichita, KS, CCN 171600
  • Faith Hospice Hospice, Wichita, KS, CCN 171604

Merit-based Incentive Payment System (MIPS)

Final score
88.34 of 100Reported as group
Quality
74.71
Improvement activities
40
Cost
63.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0523854KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Market Health Care LLC Family Medicine CurrentSince Oct 1, 2003 Accepting new patients
House Call Medical Services CurrentSince Apr 14, 2019 Accepting new patients
Restoration Health, LLC Family Medicine Past Accepting new patients

Locations

2131 N Ridge Rd
Wichita, KS 67212
Phone (316) 721-1200

2131 N Ridge Rd
Ste 101
Wichita, KS 67212

245 N Waco St
Ste 220
Wichita, KS 67202
Phone (316) 722-2138

Interoperability endpoints

  • Direct secure messaging: william.simon@khindirect.org
  • Direct secure messaging: william.simon.1@26892.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26892/brand/1/csg/1/fhir/r4
  • Direct secure messaging: william.simon@nmhc.eclinicaldirectplus.com

Organizations & group practices 4

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 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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1952352007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10616 W MAPLE ST STE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672094404",
            "telephone_number": "316-500-1250",
            "fax_number": "833-764-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10616 W MAPLE ST STE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672094404",
            "telephone_number": "316-500-1250",
            "fax_number": "833-764-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0523854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100232380C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "103295",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.