SIMON K. MICHAEL M.D.
NPI 1144334822
Pediatrics - Neonatal-Perinatal Medicine in Austin, TX
NPI Status: Active since August 18, 2006
Contact Information
1201 W 38TH ST
8TH FLOOR NEONATAL
AUSTIN, TX
ZIP 78705
Phone: (512) 324-1085
- Individual
- Male
- Pediatrics
- Neonatal-Perinatal Medicine
- Accepts Insurance
- PECOS Enrolled
About SIMON MICHAEL
This page provides the complete NPI Profile along with additional information for Simon Michael, a pediatrician established in Austin, Texas with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1144334822 assigned on August 2006. The practitioner's primary taxonomy code is 2080N0001X with license number 74731 (TX). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1144334822
- Provider Name
- SIMON K. MICHAEL M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1201 W 38TH ST 8TH FLOOR NEONATAL AUSTIN, TX 78705
- Location Phone
- (512) 324-1085
- Mailing Address
- 1201 W 38TH ST 8TH FLOOR NEONATAL AUSTIN, TX 78705
- Mailing Phone
- (512) 324-1085
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-18-2006
- Last Update Date
- 01-14-2009
- Code Navigator
A pediatrician like Simon Michael is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Neonatal-Perinatal Medicine
- Taxonomy Code
- 2080N0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 74731
- License State
- TX
- Taxonomy Description
- A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 74731 (MA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
- Bronze Classic Standard (Choice) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic Standard (Choice) - HMO
- Gold Classic Standard (Select) - HMO
- Secure (Choice) - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus Rx Copay (Select) - HMO
- Silver Simple Diabetes (Choice) - HMO
- Silver Simple Diabetes (Select) - HMO
- Silver Simple PCP Saver (Select) - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic 4700 | MercyOne - EPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard | MercyOne - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus | MercyOne - EPO
- Gold Classic - EPO
- Gold Classic Standard - EPO
- Gold Classic Standard | MercyOne - EPO
- Gold Elite - EPO
- Gold Elite | MercyOne - EPO
- Secure - EPO
- Secure | MercyOne - EPO
- Silver Classic - EPO
- Silver Classic | MercyOne - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard | MercyOne - EPO
- Silver Simple Diabetes - EPO
- Silver Simple Diabetes | MercyOne - EPO
- Silver Simple PCP Saver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Simon Michael is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for SIMON K. MICHAEL M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 4 | 4 | 3 | 3 | 4 | 8 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 6 | 3 | 8 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 6 + 3 + 8 + 8 + 4 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1144334822 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1598728487 | ELAINE M EIKE RNC NNP MSN Individual | Nurse Practitioner (Neonatal) | 1201 W 38TH ST AUSTIN, TX 78705 (512) 324-1086 |
| 1538122239 | DR. SERENA EDNA SCOTT MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 1201 W 38TH ST AUSTIN, TX 78705 (512) 324-1085 |
| 1750345351 | JOHN P BEDOLLA M.D. Individual | Emergency Medicine | 1201 W 38TH ST AUSTIN, TX 78705 (512) 324-1010 |
| 1649234071 | MS. KRISLYN KELSEY MANN RNC, NNP, MSN Individual | Nurse Practitioner (Neonatal) | 1201 W 38TH ST AUSTIN, TX 78705 (512) 324-1086 |
| 1912962689 | DR. JAMES SENTER CRESWELL M. D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 1201 W 38TH ST AUSTIN, TX 78705 (512) 324-1086 |
| 1043275258 | KENNETH WILLIAM DOMUCZICZ JR. MD Individual | Emergency Medicine | 1201 W 38TH ST #101 AUSTIN, TX 78705 (512) 324-1010 |
| 1902862097 | DR. SUSAN LANDERS MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 1201 W 38TH ST SETON MEDICAL CENTER AUSTIN, TX 78705 (512) 324-1086 |
| 1861459307 | ALOIS DUSKA MD Individual | Emergency Medicine | 1201 W 38TH ST AUSTIN, TX 78705 (512) 324-1010 |
| 1316904840 | CHRISTOPHER ANTHONY EWING MD Individual | Emergency Medicine | 1201 W 38TH ST AUSTIN, TX 78705 (512) 324-1010 |
| 1962460808 | FRANCOIS ANTOINE GORDON MD Individual | Emergency Medicine | 1201 W 38TH ST AUSTIN, TX 78705 (512) 324-1010 |
| 1114985959 | MEGHAL P MEHTA MD Individual | Emergency Medicine | 1201 W 38TH ST AUSTIN, TX 78705 (512) 324-1010 |
| 1437107612 | JEREMY GABRYSCH M.D. Individual | Emergency Medicine (Emergency Medical Services) | 1201 W 38TH ST AUSTIN, TX 78705 (512) 324-1010 |
| 1629026406 | BRANDI CHERI LE BOEUF MD Individual | Emergency Medicine | 1201 W 38TH ST AUSTIN, TX 78705 (512) 324-1010 |
| 1578511143 | CHIP BENNETT HARRINGTON JR. MD Individual | Emergency Medicine | 1201 W 38TH ST AUSTIN, TX 78705 (512) 324-1010 |
| 1548219777 | RUTH HARTJEN M.D. Individual | Emergency Medicine (Emergency Medical Services) | 1201 W 38TH ST AUSTIN, TX 78705 (512) 324-1010 |
| 1629027883 | SCOTT DAVID MEYER MD Individual | Emergency Medicine | 1201 W 38TH ST AUSTIN, TX 78705 (512) 324-1010 |
| 1750333258 | SAM SWINFORD ROBERTS III MD Individual | Emergency Medicine | 1201 W 38TH ST AUSTIN, TX 78705 (512) 324-1010 |
| 1508818949 | JEFFREY STEPHEN SCHLAB MD Individual | Emergency Medicine | 1201 W 38TH ST AUSTIN, TX 78705 (512) 324-1010 |
| 1952353393 | JAMIE LYNN SCHLUETER MD Individual | Emergency Medicine | 1201 W 38TH ST AUSTIN, TX 78705 (512) 324-1010 |
| 1831141811 | MS. SANDRA ELLEN PARKS NNP Individual | Nurse Practitioner (Neonatal) | 1201 W 38TH ST AUSTIN, TX 78705 (512) 324-1086 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144334822, enumerated in the NPI registry as an "individual" on August 18, 2006
The provider is located at 1201 W 38th St 8th Floor Neonatal Austin, Tx 78705 and the phone number is (512) 324-1085
The provider's speciality is Pediatrics with taxonomy code 2080N0001X with a focus in Neonatal-Perinatal Medicine
The provider might be accepting Accepts: Baylor Scott and White Health Plan, Blue Cross and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on August 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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