Individual provider Active NPI

Paul M Simic, M.D.

  • Orthopaedic Hand Surgery Physician
  • Van Nuys, CA
National Provider Identifier
1205867488
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
A86693 Issued in CA
Practice address
6815 Noble Ave
Van Nuys, CA 91405-3796
Phone
(818) 901-6600
Fax
(818) 997-7826
NPI assigned
Jul 5, 2006
Last updated
Aug 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A86693 CA
Orthopaedic Hand Surgery Physician 207XS0106X A86693 CA Primary

Addresses

Primary practice location

6815 Noble Ave
Van Nuys, CA 91405-3796

Mailing address

6815 Noble Ave
Van Nuys, CA 91405-3796
Phone (818) 901-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040806000279 CA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 3476525908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
JS Weill Medical College, Cornell University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 UCLA Medical PLZ
Suite 460
Los Angeles, CA 90024-7000
Phone (310) 443-8999

2625 W Alameda Ave
Suite 116
Burbank, CA 91505-4815
Phone (818) 901-6600

2655 1St St
Suite 300
Simi Valley, CA 93065-1580
Phone (805) 578-8550

30870 Russell Ranch Rd
Suite 330
Westlake Village, CA 91362-7347
Phone (805) 497-7015

757 Westwood PLZ
Los Angeles, CA 90095-0001
Phone (310) 825-9111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.42 of 100Reported as group
Quality
68.57
Promoting interoperability
100
Improvement activities
40
Cost
69.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)14
Upper limb (arm) arthroscopy (minimally invasive joint repair)53
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A86693CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Jun 1, 2019 Accepting new patients
Regents of the University of California Orthopaedic Surgery CurrentSince Jun 1, 2019 Accepting new patients
Regents of the University of California Current Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
UCLA Medical Group Past Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients

Locations

5201 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 328-5565

2625 W Alameda Ave
Ste 116
Burbank, CA 91505
Phone (818) 579-2370

100 Medical Plz
Ste 460
Los Angeles, CA 90095
Phone (310) 825-6481

100 UCLA Medical Plz
Ste 460
Los Angeles, CA 90024
Phone (310) 443-8999

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

2655 1st St
Ste 300
Simi Valley, CA 93065
Phone (805) 578-8550

6815 Noble Ave
Van Nuys, CA 91405
Phone (818) 901-6690

6815 Noble Ave
Ste 330
Van Nuys, CA 91405

30870 Russell Ranch Rd
Ste 330
Westlake Village, CA 91362
Phone (805) 497-7015

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: psimic695090@direct.uclahealth.org

Organizations & group practices 7

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 2

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1205867488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 NOBLE AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053796",
            "telephone_number": "818-901-6600",
            "fax_number": "818-997-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 NOBLE AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053796",
            "telephone_number": "818-901-6600",
            "fax_number": "818-997-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMIC",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A86693",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A86693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.