HELGE U. SIMON M.D
NPI 1639101371
Internal Medicine - Cardiovascular Disease in Toledo, OH
About Helge U. Simon M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HELGE U. SIMON M.D (NPI 1639101371) is an individual cardiovascular disease provider in Toledo, Ohio, licensed in Ohio (35.079840) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Helge U. Simon M.d 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 Helge Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portsmouth, OH 45662
- Reassigned Medicare billing, Ohio enrollment
- 549 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southern Ohio Medical Center
Acute Care Hospitals · Portsmouth, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43623 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TOLEDO, OH 43623
TOLEDO, OH 43623
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 Helge Simon's NPI number?
The NPI number for Helge Simon is 1639101371. It was assigned to this individual provider in the NPPES registry on July 6, 2006.
Where is Helge Simon located?
Helge Simon practices at 4235 Secor Rd, Toledo, OH 43623. The listed phone number is (419) 473-3561.
What is Helge Simon's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Helge Simon enrolled in Medicare?
Yes. Helge 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 Helge Simon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Helge Simon reassigns Medicare benefits to Somc Medical Care Foundation, Inc. (Portsmouth, OH). 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 Helge Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Helge Simon accept?
Health plans from CareSource list Helge 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 Helge Simon affiliated with any hospitals?
According to CMS data, Helge Simon is affiliated with Southern Ohio Medical Center.
When was this NPI record last updated?
The NPPES record for Helge Simon was last updated on June 29, 2024. 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.
# Helge U. Simon, M.D · NPI 1639101371
Cardiovascular Disease physician in Toledo, Ohio. Individual provider, active in the CMS NPPES registry since July 6, 2006.
## Identity
- **NPI:** 1639101371 (Entity type: Individual)
- **Enumerated:** July 6, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 35.079840 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 4235 SECOR RD, Toledo, OH 43623-4299
- **Phone:** (419) 473-3561
## 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:** Somc Medical Care Foundation, Inc. (NPI 1366686230, Portsmouth, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** June 29, 2024
- **Other identifiers:** Medicaid 2481425 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1639101371) · Data from the CMS NPPES public registry.