DANIEL MARC DE SIMON MD, MBA
NPI 1205531837
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Q: What is Daniel De Simon's NPI number?

The NPI number for Daniel De Simon is 1205531837. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Q: What is Daniel De Simon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Daniel De Simon was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 03, 2023PECOS Enrolled

1350 S KINGS DR FL 3, CHARLOTTE, NC 28207(704) 446-1242(704) 446-1241 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Daniel Marc De Simon Md, Mba NPPES

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

DANIEL MARC DE SIMON MD, MBA (NPI 1205531837) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205531837

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDANIEL MARC DE SIMONCredential: MD, MBA

Location Address1350 S KINGS DR FL 3Charlotte, NC 28207-2134

Mailing Address5202 Auburn St Apt 627Lubbock, TX 79416-1464 · (314) 766-3579

Phone(704) 446-1242

Fax(704) 446-1241

Sole ProprietorNo

Enumeration DateApril 3, 2023

NPPES CertifiedApril 3, 2023

✔ NPI 1205531837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1350 S KINGS DR FL 3, Charlotte, NC 28207

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Marc De Simon Md, Mba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM DAVID LAIDIG