DR. JEREMY R SIMON M.D. NPI 1306865639

NPI Information

  • NPI: 1306865639
  • Provider Name: DR. JEREMY R SIMON, M.D.
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7435 W TALCOTT AVE
    CHICAGO, IL
    ZIP 60631
  • Phone: (773) 792-5138

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NPI Details

DR. Jeremy R Simon, M.D. is a vascular and interventional radiology radiology in Chicago, IL with 30 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Jeremy R Simon, M.D. NPI is 1306865639. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7435 W TALCOTT AVE
CHICAGO, IL
ZIP 60631-707
Phone: (773) 792-5138
Fax: (773) 792-5124

The NPI 1306865639 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older (HCPCS:36573)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray for bone length assessment (HCPCS:77073)

The enumeration date for this NPI number is 7/18/2006 and was last updated on 1/29/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085B0100XRadiologyBody Imaging036096781ILLINOISNo
22085N0700XRadiologyNeuroradiology036096781ILLINOISNo
32085N0904XRadiologyNuclear Radiology036096781ILLINOISNo
42085P0229XRadiologyPediatric Radiology036096781ILLINOISNo
52085R0202XRadiologyDiagnostic Radiology036096781ILLINOISNo
62085U0001XRadiologyDiagnostic Ultrasound0360969781ILLINOISNo
72085R0204XRadiologyVascular & Interventional Radiology036096781ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1362340MEDICARE ID-TYPE UNSPECIFIEDILLINOISGROUP PROVIDER #
20001619902OTHERILLINOISBLUE CROSS BLUE SHIELD-IL
3H47289MEDICARE UPINILLINOIS
4036096781-1MEDICAIDILLINOIS
5L87786MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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