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

Q: What is the provider's specialty?

The provider's specialty is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

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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, maintains a secondary practice location in Lewisburg, 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 9, 20253 updates tracked since enumeration

NPPES CertifiedJuly 9, 2025

✔ 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

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Secondary Practice Location 1

Location 11464 Jefferson St NLewisburg, WV 24901-1380 · Phone (304) 645-3220

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, and ordering and referring status from the CMS PECOS system.

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.

Other Providers at the Same Location NPPES 12

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

DR. PETER CURKA M.D.

Emergency Medicine