1. Home
  2. Directory
  3. Texas
  4. Conroe
  5. Neuromusculoskeletal Medicine Omm
  6. NPI Profile

SIMEON NITTALA DO
NPI 1912575887
Neuromusculoskeletal Medicine & OMM in Conroe, TX

Active since June 16, 2021PECOS EnrolledAccepts Medicare Assignment
1169 GRAND CENTRAL PKWY, CONROE, TX 77304(936) 525-3600(936) 525-3624 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 31, 2026, Jul 9, 2025, Feb 3, 2025 and 1 more (4 updates tracked since 2021).

About Simeon Nittala Do NPPES

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

SIMEON NITTALA DO (NPI 1912575887) is an individual neuromusculoskeletal medicine & omm provider in Conroe, Texas, licensed in Texas (V5318) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2021).

NPPES Registry Identity

NPI1912575887
Entity TypeIndividualMale
Primary Taxonomy204D00000X
Provider Legal NameSIMEON NITTALACredential: DO
Location Address1169 GRAND CENTRAL PKWYConroe, TX 77304-3185
Mailing Address1169 Grand Central PkwyConroe, TX 77304-3185 · (936) 525-3600 · Fax (936) 525-3624
Phone(936) 525-3600
Fax(936) 525-3624
Sole ProprietorYes
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2021
Enumeration DateJune 16, 2021
Last NPPES UpdateJuly 31, 20264 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1912575887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License✔ Licensed in TX · V5318
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
1169 GRAND CENTRAL PKWY, Conroe, TX 77304
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Simeon Nittala Do 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 ID9638690340
PECOS Enrollment IDI20250311001714
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 Simeon Nittala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sam Houston State University
Same address
Multi-Specialty
1169 GRAND CENTRAL PKWY
Conroe, TX 77304
  • Reassigned Medicare billing, Texas enrollment
  • 14 clinicians in this Medicare group
NPI 1942850565 (936) 525-3600

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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. OUIDA MARCIA COLLINS MD MPH
Family Medicine
1169 GRAND CENTRAL PKWY
CONROE, TX 77304
Montgomery County (936) 525-3600
NATASHA SHAH M.D.
Pediatrics
1169 GRAND CENTRAL PKWY
CONROE, TX 77304
Montgomery County (936) 525-3600
DR. ERIN ALICE ECKHART M.D.
Pediatrics
1169 GRAND CENTRAL PKWY
CONROE, TX 77304
Montgomery County (936) 525-3600
RAJEEV S. PETHE M.D.
Emergency Medicine
1169 GRAND CENTRAL PKWY
CONROE, TX 77304
Montgomery County (936) 525-3600
DENNIS COOPER RAU JR. DO
Neuromusculoskeletal Medicine & OMM
1169 GRAND CENTRAL PKWY
CONROE, TX 77304
Montgomery County (936) 525-3600
MEGAN BECKER POWELL M.D.
Internal Medicine
1169 GRAND CENTRAL PKWY
CONROE, TX 77304
Montgomery County (936) 525-3600
VICTOR KAI-FU HSIAO M.D.
Internal Medicine
1169 GRAND CENTRAL PKWY
CONROE, TX 77304
Montgomery County (936) 525-3600
KAREN LEE NELSON PH.D.
Psychologist
1169 GRAND CENTRAL PKWY
CONROE, TX 77304
Montgomery County (936) 525-3600

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 Simeon Nittala's NPI number?

The NPI number for Simeon Nittala is 1912575887. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Where is Simeon Nittala located?

Simeon Nittala practices at 1169 Grand Central Pkwy, Conroe, TX 77304. The listed phone number is (936) 525-3600.

What is Simeon Nittala's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Simeon Nittala enrolled in Medicare?

Yes. Simeon Nittala 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 Simeon Nittala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simeon Nittala reassigns Medicare benefits to Sam Houston State University (Conroe, TX). 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 Simeon Nittala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Simeon Nittala accept?

Health plans from Blue Cross and Blue Shield of Texas list Simeon Nittala 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 Simeon Nittala was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.