SIMONMED IMAGING MACDILL
NPI 1518537455
Radiology - Diagnostic Radiology in Tampa, FL

NPI Status: Active since July 01, 2021

Contact Information

110 S MACDILL AVE STE 203
TAMPA, FL
ZIP 33609
Phone: (813) 499-0541

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance
  • CLIA Number: 10D2163630
  • CLIA Cert. Type: Other - OP MEDICAL IMAGING
  • CLIA Exp. Date: 03-18-2027

About SIMONMED IMAGING MACDILL

This page provides the complete NPI Profile along with additional information for Simonmed Imaging Macdill, a provider established in Tampa, Florida operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1518537455 assigned on July 2021. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 3 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 is doing business as Simonmed Imaging Macdill. The authorized official of this NPI record is Howard John Simon Md (Ceo/owner)

NPI
1518537455
Provider Legal Name
SIMONMED IMAGING FLORIDA LLC
Other Organization Name
SIMONMED IMAGING MACDILL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
110 S MACDILL AVE STE 203 TAMPA, FL 33609
Location Phone
(813) 499-0541
Mailing Address
6900 E CAMELBACK RD STE 700 SCOTTSDALE, AZ 85251
Mailing Phone
(480) 306-6949
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-01-2021
Last Update Date
02-03-2022
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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:

  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Silver 9 - 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 JOHN SIMON MD

Authorized Official Title
CEO/OWNER
Authorized Official Phone
(602) 809-6623

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
10D2163630
Facility Type
Other - OP MEDICAL IMAGING
Certificate Effective Date
March 19, 2025
Certificate Expiration Date
March 18, 2027
Laboratory Director
VIJITHA REDDY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Simonmed Imaging Macdill 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.
1518537455
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
252810314410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 1 + 0 + 3 + 1 + 4 + 4 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1518537455 is valid because the calculated check digit 5 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 1518537455, enumerated in the NPI registry as an "organization" on July 01, 2021

The provider is located at 110 S Macdill Ave Ste 203 Tampa, Fl 33609 and the phone number is (813) 499-0541

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

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 10D2163630 for a "other - op medical imaging" 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 July 01, 2021. 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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