SIMONMED IMAGING - AVONDALE
NPI 1720211022
Radiology - Diagnostic Radiology in Avondale, AZ
NPI Status: Active since September 02, 2009
Contact Information
10815 W MCDOWELL RD
SUITE 102
AVONDALE, AZ
ZIP 85392
Phone: (623) 423-0121
Fax: (623) 433-0122
- Organization
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- CLIA Number: 03D1098119
- CLIA Cert. Type: Other - OUTPATIENT RADIOLOGY
- CLIA Exp. Date: 01-05-2027
About SIMONMED IMAGING - AVONDALE
This page provides the complete NPI Profile along with additional information for Simonmed Imaging - Avondale, a provider established in Avondale, Arizona operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1720211022 assigned on September 2009. The practitioner's primary taxonomy code is 2085R0202X with license number OTC4683 (AZ). The provider is registered as an organization and their NPI record was last updated 15 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 - Avondale. The authorized official of this NPI record is Howard J Simon M.d. (President)
- NPI
- 1720211022
- Provider Legal Name
- SMI IMAGING, LLC
- Other Organization Name
- SIMONMED IMAGING - AVONDALE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 10815 W MCDOWELL RD SUITE 102 AVONDALE, AZ 85392
- Location Phone
- (623) 423-0121
- Location Fax
- (623) 433-0122
- Mailing Address
- PO BOX 7368 ORANGE, CA 92863
- Mailing Phone
- (714) 571-5000
- Mailing Fax
- (623) 433-0122
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-02-2009
- Last Update Date
- 05-07-2010
- Code Navigator
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
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- OTC4683
- License State
- AZ
- 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:
- Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- 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 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
- Imperial Preferred Gold - HMO
- Imperial Preferred Silver - HMO
- Imperial Standard Bronze - HMO
- Imperial Standard Gold - HMO
- Imperial Standard Silver - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00811052 | OTHER (01) | RAILROAD MEDICARE | |
| Z135833 | MEDICARE PIN (08) | AZ | |
| 473312 | MEDICAID (05) | AZ |
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
- 03D1098119
- Facility Type
- Other - OUTPATIENT RADIOLOGY
- 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 - Avondale 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.
Reviews for SIMONMED IMAGING - AVONDALE
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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 | 7 | 2 | 0 | 2 | 1 | 1 | 0 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 4 | 1 | 2 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 4 + 1 + 2 + 0 + 4 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1720211022 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 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1851382899 | CHIA-HOW LIU M.D. Individual | Family Medicine | 10815 W MCDOWELL RD SUITE 305 AVONDALE, AZ 85392 (623) 936-3312 |
| 1871566109 | MR. STEVEN M PEERY PT, MPT Individual | Physical Therapist | 10815 W MCDOWELL RD SUITE 203 AVONDALE, AZ 85392 (623) 907-4400 |
| 1396762969 | DIANNE S CARPENTER PT, DPT Individual | Physical Therapist | 10815 W MCDOWELL RD SUITE 203 AVONDALE, AZ 85392 (623) 907-4400 |
| 1225190820 | ARIZONA COLLEGE OF ORTHOPEDIC SURGEONS, PLLC Organization | Orthopaedic Surgery | 10815 W MCDOWELL RD SUITE 303 AVONDALE, AZ 85392 (602) 424-0935 |
| 1023133964 | LISA M POORMON P.T. Individual | Physical Medicine & Rehabilitation | 10815 W MCDOWELL RD AVONDALE, AZ 85392 (623) 433-0199 |
| 1861689986 | PAINCARE OF ARIZONA, LLC Organization | Clinic/Center (Medical Specialty) | 10815 W MCDOWELL RD SUITE 304 AVONDALE, AZ 85392 (623) 433-0199 |
| 1215195284 | PAINCARE HEALTH INSTITUTE LLC Organization | Clinic/Center (Ambulatory Surgical) | 10815 W MCDOWELL RD STE 304 AVONDALE, AZ 85392 (623) 433-0199 |
| 1497917660 | PAINCARE HEALTH INSTITUTE LLC Organization | Pain Medicine (Pain Medicine) | 10815 W MCDOWELL RD STE 304 AVONDALE, AZ 85392 (623) 433-0199 |
| 1861649998 | ARIZONA ACADEMY OF HEALTH AND PERFORMANCE LLC Organization | Physical Therapist | 10815 W MCDOWELL RD STE 304 AVONDALE, AZ 85392 (623) 433-0199 |
| 1942597307 | ADAM K GRIFFIN PT Individual | Physical Therapist | 10815 W MCDOWELL RD SUITE 203 AVONDALE, AZ 85392 (623) 907-4400 |
| 1083828610 | DR. STEVEN RUSH SUMPTER DO Individual | Family Medicine | 10815 W MCDOWELL RD 201 AVONDALE, AZ 85392 (602) 433-0155 |
| 1093955908 | ARUN S. PATIL M.D. Individual | Internal Medicine (Cardiovascular Disease) | 10815 W MCDOWELL RD SUITE 202 AVONDALE, AZ 85392 (623) 433-0202 |
| 1164539755 | ADHAR SETH MD Individual | Internal Medicine (Cardiovascular Disease) | 10815 W MCDOWELL RD SUITE 202 AVONDALE, AZ 85392 (623) 433-0202 |
| 1902813678 | DR. BONIFASIYO K. SSENNYAMANTONO MD Individual | Internal Medicine (Cardiovascular Disease) | 10815 W MCDOWELL RD SUITE 202 AVONDALE, AZ 85392 (623) 433-0202 |
| 1609857705 | DR. LORNE WILLIAM MURRAY MD Individual | Internal Medicine (Cardiovascular Disease) | 10815 W MCDOWELL RD STE 202 AVONDALE, AZ 85392 (623) 433-0202 |
| 1699892059 | DR. KOUSHIK NAG DO Individual | Internal Medicine (Interventional Cardiology) | 10815 W MCDOWELL RD SUITE 202 AVONDALE, AZ 85392 (623) 433-0202 |
| 1053148643 | LUNA MEDICAL SERVICES LLC Organization | Anesthesiology | 10815 W MCDOWELL RD AVONDALE, AZ 85392 (209) 956-7732 |
| 1144212721 | RIYAZ A SUMAR MD Individual | Internal Medicine (Cardiovascular Disease) | 10815 W MCDOWELL RD SUITE 202 AVONDALE, AZ 85392 (623) 433-0202 |
| 1598996894 | SURGICAL ELITE OF AVONDALE, LLC Organization | Clinic/Center (Ambulatory Surgical) | 10815 W MCDOWELL RD SUITE 101 AVONDALE, AZ 85392 (623) 433-0110 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720211022, enumerated in the NPI registry as an "organization" on September 02, 2009
The provider is located at 10815 W Mcdowell Rd Suite 102 Avondale, Az 85392 and the phone number is (623) 423-0121
This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Arizona Complete. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 03D1098119 for a "other - outpatient radiology" 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 02, 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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