Active NPI
Diane Marie Simeone, MD
- Surgery Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301053273
- Practice address
- 3855 Health Sciences Dr
La Jolla, CA 92093-4744 - Phone
- (800) 926-8273
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G195633 | CA | |
| Surgery Physician | 208600000X | 4301053273 | MI | Primary |
Addresses
Primary practice location
3855 Health Sciences Dr
La Jolla, CA 92093-4744
Mailing address
File 57326
Los Angeles, CA 90074-7326
Phone (800) 926-8273
Other practice location 1
160 E 34th St
New York, NY 10016-4744
Phone (212) 731-6150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3169854 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dsimeone214670@nyumc.direct-ci.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3855 Health Sciences Dr
La Jolla, CA 92093-1503
Phone (858) 249-6753
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.77 of 100
- Quality
- 84.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G195633 | CA | MD | Surgery Physician |
| 4301053273 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Surgery | Current | Accepting new patients |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients |
Locations
3855 Health Sciences Dr
La Jolla, CA 92093
Phone (858) 822-6094
File 57326
Los Angeles, CA 90074
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
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.
-
- Surgery Physician
- San Diego, CA
- NPI 1740382993
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1215038138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 57326",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900747326",
"telephone_number": "800-926-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 HEALTH SCIENCES DR",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920934744",
"telephone_number": "800-926-8273"
}
],
"practiceLocations": [
{
"address_1": "160 E 34th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100164744",
"country_code": "US",
"telephone_number": "212-731-6150",
"fax_number": "212-263-7511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMEONE",
"first_name": "DIANE",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G195633",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301053273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3169854",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dsimeone214670@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "160 E 34th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100164744",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.