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DR. BALA M SIMON MD, MPH
NPI 1487970521
Family Medicine in Little Rock, AR

Active since April 14, 2010PECOS EnrolledAccepts Medicare Assignment
4301 W MARKHAM ST, SLOT 530, LITTLE ROCK, AR 72205(501) 686-6606(501) 686-6594 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 31, 2023, Oct 11, 2023, Dec 19, 2017 (3 updates tracked since 2017).

About Dr. Bala M Simon Md, Mph NPPES

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

DR. BALA M SIMON MD, MPH (NPI 1487970521) is an individual family medicine provider in Little Rock, Arkansas, licensed in Arkansas (E-7295) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1487970521
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BALA M SIMONCredential: MD, MPH
Location Address4301 W MARKHAM ST, SLOT 530Little Rock, AR 72205-7101
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148
Phone(501) 686-6606
Fax(501) 686-6594
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateApril 14, 2010
Last NPPES UpdateOctober 31, 20233 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1487970521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · E-7295
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4301 W MARKHAM ST, Little Rock, AR 72205
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Other Names 1

Former Name (1)Appathurai Balamurugan Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bala M Simon Md, Mph 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.

PECOS PAC ID143454983
PECOS Enrollment IDI20131009001267
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
35 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. LESLEY BROOKE JONES R.D.
Dietitian, Registered
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6857
NANCY MAALOUF M.D.
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST, SLOT # 500
LITTLE ROCK, AR 72205
Pulaski County (501) 296-1165
DR. ARMANDO LEONEL MARTINEZ M.D.
Emergency Medicine
4301 W MARKHAM ST, SLOT 783
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
ELENA AMBROGINI MD PHD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4301 W MARKHAM ST, # 783
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
SUKANTHI KOVVURU
Psychiatry & Neurology (Neuromuscular Medicine)
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (609) 865-3702
JORDAN ALEECE FLETCHER
Obstetrics & Gynecology
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-7000
DR. TYLER KRISTOPHER ROSE M.D.
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
LUKE WILLIAM GANUCHEAU MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 376-2211

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 Bala Simon's NPI number?

The NPI number for Bala Simon is 1487970521. It was assigned to this individual provider in the NPPES registry on April 14, 2010. The provider is also known as Appathurai Balamurugan MD.

Where is Bala Simon located?

Bala Simon practices at 4301 W Markham St Slot 530, Little Rock, AR 72205. The listed phone number is (501) 686-6606.

What is Bala Simon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bala Simon enrolled in Medicare?

Yes. Bala 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.

What insurance does Bala Simon accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Bala 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.

When was this NPI record last updated?

The NPPES record for Bala Simon was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.