Individual provider Active NPI

Simon Karni, M.D.

  • Specialist
  • Houston, TX
National Provider Identifier
1962510297
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F7800 Issued in TX
Practice address
1140 Westmont Dr
Suite 435
Houston, TX 77015-4363
Phone
(713) 453-7197
Fax
(713) 450-1345
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X F7800 TX Primary

Addresses

Primary practice location

1140 Westmont Dr
Suite 435
Houston, TX 77015-4363

Mailing address

2727 Kirby Dr
Apt 19
Houston, TX 77098-1175
Phone (713) 453-7197

Other identifiers 6

IdentifierTypeStateIssuer
1928038OtherTXCIGNA
742136445OtherTXTAX ID
10014409OtherTXAETNA
4092394OtherTXAETNA
099459201MedicaidTX
8191B6OtherTXBLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101013000139 TX Practitioner - General Surgery 4183771751 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Associates of Greater Houston PA CurrentSince Aug 24, 1980 Accepting new patients

Locations

1140 Westmont Dr
Ste 435
Houston, TX 77015
Phone (713) 453-7197

13111 East Fwy
Ste 110
Houston, TX 77015
Phone (713) 453-7197

12930 East Fwy
Houston, TX 77015
Phone (281) 704-3836

1140 Westmont Dr
Ste 200
Houston, TX 77015
Phone (713) 330-3000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1962510297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 KIRBY DR",
            "address_2": "APT 19",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981175",
            "telephone_number": "713-453-7197",
            "fax_number": "713-450-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 WESTMONT DR",
            "address_2": "SUITE 435",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770154363",
            "telephone_number": "713-453-7197",
            "fax_number": "713-450-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARNI",
        "first_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F7800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1928038",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "742136445",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "10014409",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4092394",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099459201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "8191B6",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.