SIMONMED IMAGING - SUN CITY WEST
NPI 1497988687
Radiology - Diagnostic Radiology in Sun City West, AZ

NPI Status: Active since September 03, 2009

Contact Information

13624 W CAMINO DEL SOL STE 300
SUN CITY WEST, AZ
ZIP 85375
Phone: (623) 214-6609
Fax: (623) 544-3008

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance
  • CLIA Number: 03D1098142
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 01-05-2027

About SIMONMED IMAGING - SUN CITY WEST

This page provides the complete NPI Profile along with additional information for Simonmed Imaging - Sun City West, a provider established in Sun City West, Arizona operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1497988687 assigned on September 2009. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Simonmed Imaging - Sun City West. The authorized official of this NPI record is Howard J Simon M.d. (President)

NPI
1497988687
Provider Legal Name
SMI IMAGING, LLC
Other Organization Name
SIMONMED IMAGING - SUN CITY WEST
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
13624 W CAMINO DEL SOL STE 300 SUN CITY WEST, AZ 85375
Location Phone
(623) 214-6609
Location Fax
(623) 544-3008
Mailing Address
PO BOX 7368 ORANGE, CA 92863
Mailing Phone
(714) 571-5000
Mailing Fax
(623) 544-3008
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-03-2009
Last Update Date
09-03-2009
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6000 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Bronze 8500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Bronze DFW 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Gold 1000 Indiv Med Deductible - HMO
  • Connect Gold 2500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Gold 3250 Indiv Med Deductible - HMO
  • Connect Gold 3500 Indiv Med Deductible - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3000 Indiv Med Deductible - HMO
  • Connect Silver 4000 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO
  • Connect Bronze 6800 Indiv Med Deductible - HMO
  • Connect Bronze 8900 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold 2500 Indiv Med Deductible - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 4000 Indiv Med Deductible - HMO
  • Connect Silver 5000 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HOWARD J SIMON M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(480) 264-2400

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D1098142
Facility Type
Other
Certificate Effective Date
January 06, 2025
Certificate Expiration Date
January 05, 2027
Laboratory Director
HOWARD J. SIMON, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Simonmed Imaging - Sun City West to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1497988687
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2418718816616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 8 + 8 + 1 + 6 + 6 + 1 + 6 + 24 = 83
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 83 = 77

The NPI number 1497988687 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497988687, enumerated in the NPI registry as an "organization" on September 03, 2009

The provider is located at 13624 W Camino Del Sol Ste 300 Sun City West, Az 85375 and the phone number is (623) 214-6609

This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider might be accepting Accepts: Cigna Healthcare and Cigna HealthCare of Arizona,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 03D1098142 for a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 03, 2009. 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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