Individual provider Active NPI

Samuel Thomas Simone Jr., M.D.

  • Vascular Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1194861146
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD018160E Issued in PA
Practice address
1050 Bower Hill Rd
Suite309
Pittsburgh, PA 15243-1800
Phone
(412) 207-2632
Fax
(412) 892-9798
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD018160E PA Primary

Addresses

Primary practice location

1050 Bower Hill Rd
Suite309
Pittsburgh, PA 15243-1800

Mailing address

1050 Bower Hill Rd
Suite309
Pittsburgh, PA 15243-1800
Phone (412) 207-2632

Other identifiers 1

IdentifierTypeStateIssuer
0883437MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120314000446 PA Practitioner - Vascular SurgeryPractitioner - General Surgery 8325207194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Temple University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
General and Vascular Surgery Associates IncGroup PAC ID 6406833904, 3 clinicians

Practice addresses (Care Compare)

1050 Bower Hill Rd
Suite 309
Pittsburgh, PA 15243-1870
Phone (412) 207-2632

Hospital & facility affiliations

  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228
  • Upmc Mercy Hospital, Pittsburgh, PA, CCN 390028
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD018160EPAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General & Vascular Surgery Associates Inc. Vascular Surgery CurrentSince Dec 4, 1978 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1350 Locust St
Ste 205
Pittsburgh, PA 15219
Phone (412) 391-4360

1050 Bower Hill Rd
Ste 309
Pittsburgh, PA 15243
Phone (412) 207-2632

1350 Locust St
Ste 406
Pittsburgh, PA 15219
Phone (412) 207-2632

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1194861146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 BOWER HILL RD",
            "address_2": "SUITE309",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431800",
            "telephone_number": "412-207-2632",
            "fax_number": "412-892-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 BOWER HILL RD",
            "address_2": "SUITE309",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431800",
            "telephone_number": "412-207-2632",
            "fax_number": "412-892-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONE",
        "first_name": "SAMUEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD018160E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0883437",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.