Individual provider Active NPI

Simon C Jung, M.D.

  • Interventional Cardiology Physician
  • Cincinnati, OH
National Provider Identifier
1992708556
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
35078324J Issued in OH
Practice address
10506A Montgomery Rd
Ste 301
Cincinnati, OH 45242-4401
Phone
(513) 246-2400
Fax
(513) 985-2905
NPI assigned
May 27, 2005
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35078324J OH
Interventional Cardiology Physician 207RI0011X 35078324J OH Primary

Addresses

Primary practice location

10506A Montgomery Rd
Ste 301
Cincinnati, OH 45242-4401

Mailing address

10506A Montgomery Rd
Ste 301
Cincinnati, OH 45242-4401
Phone (513) 246-2400

Other identifiers 1

IdentifierTypeStateIssuer
2197895MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050207000938 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 9537110507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
University of Kansas School of Med (KC/Wich/Sal), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

100 Arrow Springs Blvd
Lebanon, OH 45036-7002
Phone (513) 793-2654

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 246-2400

10506 A Montgomery Rd
Montgomery, OH 45242-4402

110 N Poplar St
Oxford, OH 45056-1204

1275 N High St
Hillsboro, OH 45133-8273
Phone (513) 246-2400

3055 Hamilton Mason Rd
Fairfield Township, OH 45011-5307

3219 Clifton Ave
Suite 400
Cincinnati, OH 45220-3049
Phone (513) 246-2400

375 Dixmyth Ave
Cincinnati, OH 45220-2475

379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000

6350 Glenway Ave
FL 3
Cincinnati, OH 45211-6378
Phone (513) 246-4550

6949 Good Samaritan Dr
Cincinnati, OH 45247-5205

740 W Galbraith Rd
Cincinnati, OH 45231-6002

7777 Beechmont Ave
Cincinnati, OH 45255-4209

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting30
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35078324JOHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC Cardiovascular Disease CurrentSince Nov 1, 2021 Accepting new patients
Cardiology Center of Cincinnati, Inc Cardiovascular Disease Past Accepting new patients
Professional Readers Group, Inc Past Accepting new patients
Trihealth Physician Institute Past Accepting new patients

Locations

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

10506 Montgomery Rd
Ste 300
Montgomery, OH 45242
Phone (513) 865-5120

10525 Montgomery Rd
Montgomery, OH 45242
Phone (513) 745-9800

10506 Montgomery Rd
Ste 301
Montgomery, OH 45242

10506 Montgomery Rd
Montgomery, OH 45242
Phone (513) 745-9800

Interoperability endpoints

  • Direct secure messaging: sjung7839@direct.trihealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1992708556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10506A MONTGOMERY RD",
            "address_2": "STE 301",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424401",
            "telephone_number": "513-246-2400",
            "fax_number": "513-985-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10506A MONTGOMERY RD",
            "address_2": "STE 301",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424401",
            "telephone_number": "513-246-2400",
            "fax_number": "513-985-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "SIMON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35078324J",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35078324J",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2197895",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.