NPIMap

Individual provider Active NPI

Phillip Neal Simon, M.D.

  • Internal Medicine Physician
  • Westerville, OH
National Provider Identifier
1972517522
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35084614 Issued in OH
Practice address
110 Polaris Pkwy
Suite 250
Westerville, OH 43082-8024
Phone
(614) 865-4800
Fax
(614) 865-4900
NPI assigned
Jul 28, 2006
Last updated
Apr 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35084614 OH
Internal Medicine Physician 207R00000X 35084614 OH Primary

Addresses

Primary practice location

110 Polaris Pkwy
Suite 250
Westerville, OH 43082-8024

Mailing address

110 Polaris Pkwy
Suite 250
Westerville, OH 43082-8024
Phone (614) 865-4800

Other identifiers 1

IdentifierTypeStateIssuer
2545419MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address phillipsimon@ppimp.allscriptsdirect.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050913000175 OH Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0345273298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Wright State University Boonshoft School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

655 Africa Rd
Westerville, OH 43082-9808
Phone (614) 865-3172

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
85.5
Improvement activities
40
Cost
83.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35084614OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Mar 6, 2023 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. Internal Medicine CurrentSince Mar 6, 2023 Accepting new patients

Locations

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

110 Polaris Pkwy
Ste 250
Westerville, OH 43082
Phone (614) 865-4800

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: psimon18915@copcp.medicity.net

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.

Hospital & facility affiliations 7

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1972517522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 POLARIS PKWY",
            "address_2": "SUITE 250",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828024",
            "telephone_number": "614-865-4800",
            "fax_number": "614-865-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 POLARIS PKWY",
            "address_2": "SUITE 250",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828024",
            "telephone_number": "614-865-4800",
            "fax_number": "614-865-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "PHILLIP",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35084614",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35084614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2545419",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phillipsimon@ppimp.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "110 Polaris Pkwy",
            "address_2": "Suite 250",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430828024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.