Individual provider Active NPI

Simone Nadeen Cowan, D.O.

  • Cardiovascular Disease Physician
  • Grosse Pointe, MI
National Provider Identifier
1194987826
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5101017934 Issued in MI
Practice address
16815 E Jefferson Ave Ste 110
Grosse Pointe, MI 48230-1923
Phone
(313) 640-7220
NPI assigned
Jun 25, 2008
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101017934 MI
Cardiovascular Disease Physician 207RC0000X 5101017934 MI Primary

Addresses

Primary practice location

16815 E Jefferson Ave Ste 110
Grosse Pointe, MI 48230-1923

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

27219 Winterset Cir
Farmington Hills, MI 48334-4065
Phone (718) 812-5470

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scowan1229759@epic00.shdirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20140625001278 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1850516360 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

850 W Baraga Ave
Marquette, MI 49855-4550
Phone (906) 449-3440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101017934MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Marquette Physician Practices Inc CurrentSince Nov 7, 2022 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Nov 7, 2022 Accepting new patients
DLP Marquette Physician Practices Inc Current Accepting new patients
Eastlake Cardiovascular PC Cardiovascular Disease CurrentSince Jul 22, 2014 Accepting new patients

Locations

16815 E Jefferson Ave
Ste 110
Grosse Pointe, MI 48230
Phone (313) 509-2212

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

850 W Baraga Ave
Ste 20
Marquette, MI 49855
Phone (906) 449-3440

24211 Little Mack Ave
St Clr Shores, MI 48080
Phone (586) 498-0440

Interoperability endpoints

  • Direct secure messaging: scowan1123956@direct.hfhs.org
  • Direct secure messaging: simone.cowan.1@23906.direct.athenahealth.com

Organizations & group practices 5

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

Hospital & facility affiliations 1

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1194987826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16815 E JEFFERSON AVE STE 110",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301923",
            "telephone_number": "313-640-7220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27219 Winterset Cir",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483344065",
            "country_code": "US",
            "telephone_number": "718-812-5470",
            "fax_number": "201-856-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COWAN",
        "first_name": "SIMONE",
        "middle_name": "NADEEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101017934",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101017934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scowan1229759@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "16815 E Jefferson Ave Ste 110",
            "city": "Grosse Pointe",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482301923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grosse Pointe, MI

Sources for this page

Verify at the official NPI Registry.