SIMONMED IMAGING - DEER VALLEY
NPI 1891928107
Radiology - Diagnostic Radiology in Phoenix, AZ

NPI Status: Active since September 02, 2009

Contact Information

20414 N 27TH AVE STE 150
PHOENIX, AZ
ZIP 85027
Phone: (623) 234-2520
Fax: (623) 234-2530

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • CLIA Number: 03D1098124
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 01-05-2027

About SIMONMED IMAGING - DEER VALLEY

This page provides the complete NPI Profile along with additional information for Simonmed Imaging - Deer Valley, a provider established in Phoenix, Arizona operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1891928107 assigned on September 2009. The practitioner's primary taxonomy code is 2085R0202X with license number OTC4685 (AZ). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Simonmed Imaging - Deer Valley. The authorized official of this NPI record is Howard J Simon M.d. (President)

NPI
1891928107
Provider Legal Name
SMI IMAGING, LLC
Other Organization Name
SIMONMED IMAGING - DEER VALLEY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
20414 N 27TH AVE STE 150 PHOENIX, AZ 85027
Location Phone
(623) 234-2520
Location Fax
(623) 234-2530
Mailing Address
PO BOX 7368 ORANGE, CA 92863
Mailing Phone
(714) 571-5000
Mailing Fax
(623) 234-2530
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-02-2009
Last Update Date
05-07-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
OTC4685
License State
AZ
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HOWARD J SIMON M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(480) 264-2400

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
473352MEDICAID (05)AZ 
P00811052OTHER (01)RAILROAD MEDICARE
Z135526MEDICARE PIN (08)AZ 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D1098124
Facility Type
Other
Certificate Effective Date
January 06, 2025
Certificate Expiration Date
January 05, 2027
Laboratory Director
HOWARD J. SIMON, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Simonmed Imaging - Deer Valley to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1891928107, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
1
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 8 + 1 + 1 + 8 + 2 + 1 + 6 + 1 + 0 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1891928107.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891928107, enumerated as an "organization" on September 02, 2009.

The provider is located at 20414 N 27TH AVE STE 150 PHOENIX, AZ 85027 and the phone number is (623) 234-2520.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.