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DR. ESAN ODELL SIMON M.D., M.B.A.
NPI 1841276433
General Practice in Clearwater, FL

Active since December 16, 2005PECOS Enrolled
15100 RESCUE WAY, USCG AIR STATION CLEARWATER MEDICAL CLINIC, CLEARWATER, FL 33762(727) 535-1437(727) 535-4190 Get Directions Write a Review

NPPES record last updated: July 22, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Esan Odell Simon M.d., M.b.a. NPPES

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

DR. ESAN ODELL SIMON M.D., M.B.A. (NPI 1841276433) is an individual general practice provider in Clearwater, Florida, licensed in Virginia (0101102764) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (1998).

NPPES Registry Identity

NPI1841276433
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. ESAN ODELL SIMONCredential: M.D., M.B.A.
Location Address15100 RESCUE WAY, USCG AIR STATION CLEARWATER MEDICAL CLINICClearwater, FL 33762-3502
Mailing Address15100 Rescue Way, Uscg Air Station Clearwater Medical ClinicClearwater, FL 33762-3502 · (727) 535-1437 · Fax (727) 535-4190
Phone(727) 535-1437
Fax(727) 535-4190
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1998
Enumeration DateDecember 16, 2005
Last NPPES UpdateJuly 22, 2013
✔ NPI 1841276433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101102764
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License 0101102764 (VA)
15100 RESCUE WAY, Clearwater, FL 33762
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Esan Odell Simon M.d., M.b.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709367758
PECOS Enrollment IDI20260226003988
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.

Medicare Billing Reassignment

Medicare enrollment records show Esan Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Comprehensive Primary Care And Associates LLC
834 mi
Internal Medicine
15245 SHADY GROVE RD STE 150
Rockville, MD 20850
  • Reassigned Medicare billing, District of Columbia enrollment
  • 145 clinicians in this Medicare group
NPI 1831492586 (301) 869-9776

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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. MARYELLEN TILLY RDH BA
Dental Hygienist
15100 RESCUE WAY, DENTAL
CLEARWATER, FL 33762
Pinellas County (727) 535-1437
ALLEN LEE VANDEN BRINK
Military Health Care Provider (Independent Duty Corpsman)
15100 RESCUE WAY
CLEARWATER, FL 33762
Pinellas County (727) 535-1437
TERESA DAVIS HS
Military Health Care Provider
15100 RESCUE WAY
CLEARWATER, FL 33762
Pinellas County (727) 535-1437
USCG PERSONAL SERVICE CENTER
Health Maintenance Organization
15100 RESCUE WAY
CLEARWATER, FL 33762
Pinellas County (727) 535-1437
KENNETH EDWARD KOPITZKE
Military Health Care Provider
15100 RESCUE WAY, USCG AIR STATION CLEARWATER CLINIC
CLEARWATER, FL 33762
Pinellas County (727) 535-1437
MS. MELODEE ANNE GOODIER AMT
Specialist
15100 RESCUE WAY
CLEARWATER, FL 33762
Pinellas County (727) 535-1437
DR. PATRICK L. ROMERO PHARM. D.
Pharmacist
15100 RESCUE WAY
CLEARWATER, FL 33762
Pinellas County (727) 535-1437
MR. BENEDITO SOARES OLIVEIRA PA
Physician Assistant (Medical)
15100 RESCUE WAY
CLEARWATER, FL 33762
Pinellas County (172) 753-5143

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 Esan Simon's NPI number?

The NPI number for Esan Simon is 1841276433. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Where is Esan Simon located?

Esan Simon practices at 15100 Rescue Way Uscg Air Station Clearwater Medical Clinic, Clearwater, FL 33762. The listed phone number is (727) 535-1437.

What is Esan Simon's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Esan Simon enrolled in Medicare?

Yes. Esan Simon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Esan Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Esan Simon reassigns Medicare benefits to Comprehensive Primary Care And Associates LLC (Rockville, MD). 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 Esan Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Esan Simon was last updated on July 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.