NATHAN SIMON (MD) – Anesthesiology Physician, NPI 1164867966

NATHAN SIMON (MD) is a healthcare provider. based in Ann arbor, Michigan. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 01077776A (IN). The NPI Number for NATHAN SIMON (MD) is 1164867966

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN SIMON (MD)
NPI
1164867966
Phone
(734) 936-4280
Address
1500 E MEDICAL CENTER DR
Enumeration Date
7 May 2013
Last Update Date
13 August 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5748552223
Graduation Year
2013 (13 years ago)
PAC ID
2961719448
Group Practice PAC ID
4486046646
Professional Enrollment ID
I20170614001839
Address ID
IN465458863MI3212XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,714 ANESTHESIOLOGY in MI

Provider Addresses for NATHAN SIMON (MD)

  • 1500 E MEDICAL CENTER DR

    ANN ARBOR, MI 481095000

    Phone: (734) 936-4280

    Fax: (734) 936-9091

    Type: Location

  • 1500 E Medical Center Dr

    Ann Arbor, MI 481095000

    Phone: (734) 936-4280

    Fax: (734) 936-9091

    Type: Location

  • 1402 E COUNTY LINE RD

    INDIANAPOLIS, IN 462270963

    Phone: (317) 887-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-06-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170614001839IAnesthesiologyINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93313Insertion of probe in esophagus for heart ultrasound1111$0
View full utilization report →

Insurance plans in this area (ZIP 48109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486046646View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIN
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)IN
A N E S T H E S I O L O G YIN
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YIN

Reviews

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Frequently asked questions

How do I look up NATHAN SIMON (MD) by NPI?
Use NPI 1164867966 when you need to reference NATHAN SIMON (MD) in forms, claims, or directories.
Is NATHAN SIMON (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does NATHAN SIMON (MD) treat or focus on?
Patients typically see NATHAN SIMON (MD) under the specialty Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location shows for NATHAN SIMON (MD)?
We surface Ann Arbor, Michigan for NATHAN SIMON (MD) based on available NPPES addresses.
What if Ann Arbor, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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