SIMONMED IMAGING FLORIDA LLC
NPI 1144976093
Radiology - Diagnostic Radiology in Orlando, FL

Active since March 01, 2022CLIA 10D2257999 · Waiver
10105 CLEAR VISTA ST STE 100, ORLANDO, FL 32832(407) 587-0710(407) 587-0711 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Simonmed Imaging Florida Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIMONMED IMAGING FLORIDA LLC (NPI 1144976093), doing business as Simonmed Imaging Lake Nona, is a healthcare organization registered as a diagnostic radiology in Orlando, Florida and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through April 13, 2028 and lists Howard John Simon, Owner, as its authorized official.

NPPES Registry Identity

NPI1144976093
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSIMONMED IMAGING FLORIDA LLC
Location Address10105 CLEAR VISTA ST STE 100Orlando, FL 32832-6375
Mailing Address6900 E Camelback Rd Ste 700Scottsdale, AZ 85251-2400 · (480) 306-6949 · Fax (602) 302-5706
Fax(407) 587-0711
Organization SubpartNo
Authorized OfficialHoward John SimonOwner · (602) 809-6623
Enumeration DateMarch 1, 2022
NPPES CertifiedMarch 1, 2022
✔ NPI 1144976093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
10105 CLEAR VISTA ST STE 100, Orlando, FL 32832

Other Names 1

Doing Business AsSimonmed Imaging Lake Nona

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simonmed Imaging Florida Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

164

Medicare enrollment records show 164 clinicians reassign Medicare billing to Simonmed Imaging Florida LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Diagnostic Radiology147
Interventional Radiology7
Cardiovascular Disease (Cardiology)4
Nurse Practitioner4
Hospitalist1
Interventional Cardiology1

Nearest to this location (20)

See all 164
Diagnostic Radiology
NPI 1013177419
208 W OAK ST
Kissimmee, FL 34741
(407) 846-8700
✔ PECOS✔ Accepts Medicare11 mi
Diagnostic Radiology
NPI 1164817813
2121 S ORANGE AVE
Orlando, FL 32806
(407) 514-1870
✔ PECOS✔ Accepts Medicare12 mi
Diagnostic Radiology
NPI 1477660413
1315 S ORANGE AVE
Orlando, FL 32806
(407) 999-9977
✔ PECOS✔ Accepts Medicare13 mi
Diagnostic Radiology
NPI 1649237439
52 W UNDERWOOD ST
Orlando, FL 32806
(321) 842-8475
✔ PECOS✔ Accepts Medicare13 mi
Diagnostic Radiology
NPI 1023169661
52 W UNDERWOOD ST
Orlando, FL 32806
(321) 842-8475
✔ PECOS✔ Accepts Medicare13 mi
Diagnostic Radiology
NPI 1639600042
601 E ROLLINS ST
Orlando, FL 32803
(407) 303-5600
✔ PECOS✔ Accepts Medicare15 mi
Diagnostic Radiology
NPI 1710984240
601 E ROLLINS ST
Orlando, FL 32803
(407) 303-1944
✔ PECOS✔ Accepts Medicare15 mi
Diagnostic Radiology
NPI 1720307317
601 E ROLLINS ST
Orlando, FL 32803
(407) 200-2355
✔ PECOS✔ Accepts Medicare15 mi
Diagnostic Radiology
NPI 1467459107
601 E ROLLINS ST
Orlando, FL 32803
(407) 303-1944
✔ PECOS✔ Accepts Medicare15 mi
Diagnostic Radiology
NPI 1497702542
11253 S APOPKA VINELAND RD
Orlando, FL 32836
(407) 745-1481
✔ PECOS✔ Accepts Medicare16 mi
Diagnostic Radiology
NPI 1134184070
2111 GLENWOOD DR STE 101
Winter Park, FL 32792
(407) 478-1550
✔ PECOS✔ Accepts Medicare16 mi
Diagnostic Radiology
NPI 1245381896
1110 W FAIRBANKS AVE
Winter Park, FL 32789
(407) 629-7474
✔ PECOS✔ Accepts Medicare16 mi
Diagnostic Radiology
NPI 1922018613
2600 WESTHALL LN STE 4
Maitland, FL 32751
(407) 200-2355
✔ PECOS✔ Accepts Medicare20 mi
Diagnostic Radiology
NPI 1770717258
9582 W COLONIAL DR
Ocoee, FL 34761
(407) 363-6700
✔ PECOS✔ Accepts Medicare20 mi
Diagnostic Radiology
NPI 1508844093
9582 W COLONIAL DR
Ocoee, FL 34761
(407) 896-3055
✔ PECOS✔ Accepts Medicare20 mi
Diagnostic Radiology
NPI 1396835054
9582 W COLONIAL DR
Ocoee, FL 34761
(719) 593-1799
✔ PECOS✔ Accepts Medicare20 mi
Diagnostic Radiology
NPI 1790059970
9582 W COLONIAL DR
Ocoee, FL 34761
(407) 363-6700
✔ PECOS✔ Accepts Medicare20 mi
Diagnostic Radiology
NPI 1053346999
1343 SOUTH INTERNATIONAL PARKWAY SUITE 1351
Lake Mary, FL 32746
(407) 657-7979
✔ PECOS✔ Accepts Medicare27 mi
Interventional Radiology
NPI 1922453216
701 W PLYMOUTH AVE
Deland, FL 32720
(386) 943-3160
✔ PECOS✔ Accepts Medicare46 mi
Nurse Practitioner
NPI 1194458406
4710 N HABANA AVE STE 402
Tampa, FL 33614
(813) 304-1299
✔ PECOS✔ Accepts Medicare81 mi
See all 164 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2257999

Simonmed Imaging Florida LLC Dba Simonmed Imaging - Lake Nona · Orlando, FL
Active · expires Apr 13, 2028
CLIA Number10D2257999
Laboratory TypeOutpatient Medicalimaging
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorVijitha K. Reddy
Laboratory Phone(407) 587-0710
Laboratory LocationSimonmed Imaging Florida LLC Dba Simonmed Imaging - Lake Nona10105 Clear Vista St, Ste 100, Orlando, FL 32832
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Simonmed Imaging Florida LLC's NPI number?

The NPI number for Simonmed Imaging Florida LLC is 1144976093. It was assigned to this organization in the NPPES registry on March 1, 2022. The provider is doing business as Simonmed Imaging Lake Nona.

Where is Simonmed Imaging Florida LLC located?

Simonmed Imaging Florida LLC is located at 10105 Clear Vista St Ste 100, Orlando, FL 32832. The listed phone number is (407) 587-0710.

What is Simonmed Imaging Florida LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Simonmed Imaging Florida LLC enrolled in Medicare?

Yes. Simonmed Imaging Florida LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Simonmed Imaging Florida LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 164 clinicians in 6 Medicare specialties reassign their Medicare billing to Simonmed Imaging Florida LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (147), Interventional Radiology (7) and Cardiovascular Disease (Cardiology) (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Simonmed Imaging Florida LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2257999) is associated with this NPI, valid through April 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Simonmed Imaging Florida LLC accept?

Health plans from AvMed and Molina Healthcare list Simonmed Imaging Florida LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Simonmed Imaging Florida LLC was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.