THERESA SOLA SIMON MD
NPI 1356423016
Internal Medicine in Point Pleasant, WV
About Theresa Sola Simon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA SOLA SIMON MD (NPI 1356423016) is an individual internal medicine provider in Point Pleasant, West Virginia, licensed in Ohio (35-086077) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Rivers Health, and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Theresa Sola Simon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Theresa Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pt Pleasant, WV 25550
- Reassigned Medicare billing, West Virginia enrollment
- 82 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rivers Health
Acute Care Hospitals · Point Pleasant, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 25550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
POINT PLEASANT, WV 25550
POINT PLEASANT, WV 25550
POINT PLEASANT, WV 25550
POINT PLEASANT, WV 25550
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 Theresa Simon's NPI number?
The NPI number for Theresa Simon is 1356423016. It was assigned to this individual provider in the NPPES registry on October 20, 2006. The provider is also known as Dr. Ma.Theresa R. Sola MD.
Where is Theresa Simon located?
Theresa Simon practices at 2520 Valley Drive, Point Pleasant, WV 25550. The listed phone number is (304) 675-4500.
What is Theresa Simon's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Theresa Simon enrolled in Medicare?
Yes. Theresa Simon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Theresa Simon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Simon reassigns Medicare benefits to Point Pleasant Physician Billing Services (Pt Pleasant, WV). The 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 Theresa Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Simon accept?
Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Theresa Simon 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.
Is Theresa Simon affiliated with any hospitals?
According to CMS data, Theresa Simon is affiliated with Rivers Health.
When was this NPI record last updated?
The NPPES record for Theresa Simon was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Theresa Sola Simon, MD · NPI 1356423016
Internal Medicine physician in Point Pleasant, West Virginia. Individual provider, active in the CMS NPPES registry since October 20, 2006.
## Identity
- **NPI:** 1356423016 (Entity type: Individual)
- **Enumerated:** October 20, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 35-086077 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 2520 VALLEY DRIVE, Point Pleasant, WV 25550
- **Phone:** (304) 675-4500 · **Fax:** (304) 674-4019
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Point Pleasant Physician Billing Services (NPI 1396798898, Pt Pleasant, WV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** May 21, 2021
- **Other identifiers:** Medicaid 2708976 (OH); Medicaid 3810009604 (WV)
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Source: [NPI Profile](https://npiprofile.com/npi/1356423016) · Data from the CMS NPPES public registry.