Individual provider

Brian Simon, MD

Ophthalmology Physician Student in an Organized Health Care Education/Training Program Internal Medicine Physician Medicare enrolled

Brian Simon, MD is an Ophthalmology Physician in Maywood, IL, registered under NPI 1417652363. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 2160 S 1ST AVE, Maywood, IL 60153. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2160 S 1ST AVE, Maywood, IL 60153 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
125.081189 IL Ophthalmology Physician primary
125.081189 IL Internal Medicine Physician
125.081189 IL Student in an Organized Health Care…

This provider holds licence 125.081189 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Internal Medicine
PAC ID
8527421056
Enrollment ID
I20230830002812

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Internal Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Ophthalmology covers

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. NUCC Health Care Provider Taxonomy, code 207W00000X
Allopathic & Osteopathic Physicians Ophthalmology

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207W00000X Ophthalmology Physician 125.081189 IL primary
390200000X Student in an Organized Health Care Education/Training Program
207R00000X Internal Medicine Physician 125.081189 IL
390200000X Student in an Organized Health Care Education/Training Program 125.081189 IL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1417652363 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 31, 2023
Last updatedApr 19, 2024
StatusActive
Sole proprietorNo
CredentialMD
Practice address 2160 S 1ST AVE
Maywood, IL 60153
(888) 584-7888
Mailing address 3249 OAK PARK AVE
Berwyn, IL 60402
This record was updated on Apr 19, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1417652363 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 6 5 2 3 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 3 5 4 3 3

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417652363?
NPI 1417652363 is the National Provider Identifier assigned to Brian Simon, MD in Maywood, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Ophthalmology Physician cover?
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the…
How do I contact Brian Simon, MD?
The phone number on file with NPPES is (888) 584-7888, last updated Apr 19, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Brian Simon, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1417652363 a valid number?
Yes. 1417652363 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.