SONIA SIMON DPM
NPI 1902460009
Podiatrist in Dallas, TX
About Sonia Simon Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SONIA SIMON DPM (NPI 1902460009) is an individual podiatrist in Dallas, Texas, licensed in Texas (3138) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Medical City Dallas Hospital, and maintains a secondary practice location in Plano.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Sonia Simon Dpm 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.
Areas of Expertise CMS Part B claims 10
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Medical City Dallas Hospital
Acute Care Hospitals · Dallas, TXNorth Central Surgical Center LLP
Acute Care Hospitals · Dallas, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75251 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DALLAS, TX 75251
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 Sonia Simon's NPI number?
The NPI number for Sonia Simon is 1902460009. It was assigned to this individual provider in the NPPES registry on April 24, 2019.
Where is Sonia Simon located?
Sonia Simon practices at 12221 Merit Dr Ste 280, Dallas, TX 75251. The listed phone number is (972) 853-7100.
What is Sonia Simon's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Sonia Simon enrolled in Medicare?
Yes. Sonia 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 Sonia Simon accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Sonia 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 Sonia Simon affiliated with any hospitals?
According to CMS data, Sonia Simon is affiliated with Medical City Dallas Hospital and North Central Surgical Center LLP.
When was this NPI record last updated?
The NPPES record for Sonia Simon was last updated on July 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
