Active NPI
James William Simon, APRN
- Endocrinology, Diabetes & Metabolism Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- APRN11001318
- Practice address
- 2605 W Swann Ave Ste 600
Tampa, FL 33609-4044 - Phone
- (813) 876-7073
- NPI assigned
- Jun 6, 2019
- Last updated
- Sep 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11001318 | FL | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | APRN11001318 | FL | Primary |
| Internal Medicine Physician | 207R00000X | APRN11001318 | FL |
Addresses
Primary practice location
2605 W Swann Ave Ste 600
Tampa, FL 33609-4044
Mailing address
14196 Whisperwood Dr
Clearwater, FL 33762-3352
Phone (609) 670-8076
Other practice location 1
6217 66th St N
Pinellas Park, FL 33781-5025
Phone (727) 546-1680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4833 Fruitville Rd
Unit 101
Sarasota, FL 34232-1885
Phone (878) 201-3312
Merit-based Incentive Payment System (MIPS)
- Final score
- 57.45 of 100
- Quality
- 33.03
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 75.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11001318 | FL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pcma Palliative Division LLC | Current | Accepting new patients | |
| I V S Nath MD FRCP PA | Past | Accepting new patients |
Locations
2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025
Organizations & group practices 2
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.
-
dba Pcma Medical Group LLC Sole MBR
- Hospice and Palliative Medicine (Family Medicine) Physician
- Pittsburgh, PA
- NPI 1629585054
FL
-
- Gastroenterology Physician
- Pinellas Park, FL
- NPI 1508199969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1982263760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14196 WHISPERWOOD DR",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337623352",
"telephone_number": "609-670-8076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 W SWANN AVE STE 600",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094044",
"telephone_number": "813-876-7073"
}
],
"practiceLocations": [
{
"address_1": "6217 66th St N",
"address_purpose": "LOCATION",
"city": "Pinellas Park",
"state": "FL",
"postal_code": "337815025",
"country_code": "US",
"telephone_number": "727-546-1680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMON",
"first_name": "JAMES",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-06",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11001318",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "APRN11001318",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "APRN11001318",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.