SIMONMED IMAGING JACKSONVILLE
NPI 1477123446
Radiology - Diagnostic Radiology in Jacksonville, FL
About Simonmed Imaging Jacksonville NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIMONMED IMAGING JACKSONVILLE (NPI 1477123446) is a healthcare organization registered as a diagnostic radiology in Jacksonville, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through May 13, 2027 and lists Howard John Simon, Ceo/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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 Jacksonville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
164Medicare enrollment records show 164 clinicians reassign Medicare billing to Simonmed Imaging Jacksonville, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 164Gainesville, FL 32610
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 10D2224694
Simonmed Imaging Florida, LLC Dba Simonmed Imaging - Jacksonville · Jacksonville, FLFrequently 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 1477123446. It was assigned to this organization in the NPPES registry on June 30, 2021. The provider is doing business as Simonmed Imaging Jacksonville.
Where is Simonmed Imaging Florida LLC located?
Simonmed Imaging Florida LLC is located at 6138 Kennerly Rd Ste 100, Jacksonville, FL 32216. The listed phone number is (904) 638-0217.
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). Of these, 5 practice within 10 miles. 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 10D2224694) is associated with this NPI, valid through May 13, 2027. 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 February 3, 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.
# Simonmed Imaging Jacksonville · NPI 1477123446
Diagnostic Radiology organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since June 30, 2021.
## Identity
- **NPI:** 1477123446 (Entity type: Organization)
- **Enumerated:** June 30, 2021
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Legal business name:** Simonmed Imaging Florida Llc
- **Organization subpart:** No
- **Authorized official:** Howard Simon, CEO/OWNER
## Practice location
- **Address:** 6138 KENNERLY RD STE 100, Jacksonville, FL 32216-4393
- **Phone:** (904) 638-0217
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 164 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (147), Interventional Radiology (7), Cardiovascular Disease (Cardiology) (4); 5 practice within 10 miles; [full list](https://npiprofile.com/npi/1477123446/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477123446) · Data from the CMS NPPES public registry.