Simon Daniel Xavier Thebault, M.D.
Neurology Physician · Philadelphia, PA
Simon Daniel Xavier Thebault, M.D. is a neurology physician with a practice address in Philadelphia, Pennsylvania, and NPI 1174258305, issued on Jul 21, 2022. Check the license (Pennsylvania MD478091, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Simon Daniel Xavier Thebault
- Credential
- M.D.
- Primary taxonomy
- Neurology Physician 2084N0400X
- License number
- MD478091 PA
Self-reported in NPPES; status is on the state search - Practice location
- 3400 Civic Center Blvd S, Philadelphia, PA 19104
- Phone
- (215) 316-5151
- Enumerated
- Jul 21, 2022
- Record last updated
- Sep 28, 2022
- Entity
- Type 1 · individual
8 nearest neurology physician records → All 1,077 in Pennsylvania → Look up another NPI →
Verify Simon Daniel Xavier Thebault in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD478091Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $998.69
13 payments; by number, the most common kind was food and beverage; the largest payer was Emd Serono, Inc. The 10,858 providers of this specialty with any payment received $8,318.07 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Simon Daniel Xavier Thebault among 1,077 neurology physician records in Pennsylvania
Simon Daniel Xavier Thebault, M.D. is one of 1,077 neurology physician records with a practice address in Pennsylvania. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 93% of them.
- NPI issued2022 · 93% of these records are older, 4% newer
- In a Medicare fileYes · 83% of these records are
- In the CMS Doctors and Clinicians fileNo · 68% of these records are
- Record last updated2022 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2084N0400X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Neurology Physician providers in Pennsylvania
There are 1,077 neurology physician records in Pennsylvania.
All 1,077 in Pennsylvania → Every provider in Philadelphia → Neurology Physician nationwide →
The 8 neurology physician records with the nearest ZIP codes
- Laura Balcer, MDPhiladelphia, PA 191041902838121
- Charles Cantor, MDPhiladelphia, PA 191041225066244
- Harry Coslett, MDPhiladelphia, PA 191041326088329
- Joseph Dalmau, MDPhiladelphia, PA 191041376575506
- Ramon Diaz-Arrastia, MDPhiladelphia, PA 191041194785774
- Marc Dichter, MDPhiladelphia, PA 191041043242282
- Lauren Elman, MDPhiladelphia, PA 191041942231766
- Rollin Gallagher, MD MPHPhiladelphia, PA 191041932136835
Common questions
What is Simon Daniel Xavier Thebault, M.D.'s NPI number?
Simon Daniel Xavier Thebault, M.D.'s National Provider Identifier (NPI) is 1174258305, issued on Jul 21, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Simon Daniel Xavier Thebault, M.D. located?
The NPPES record lists a practice address at 3400 Civic Center Blvd S, Philadelphia, PA, 19104. Phone: (215) 316-5151. Providers update this record themselves, so call before visiting.
How can I verify Simon Daniel Xavier Thebault, M.D.'s license?
NPPES lists Pennsylvania license number MD478091, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.