Individual provider Active NPI

Charles B Simone II, MD

  • Radiation Oncology Physician
  • New York, NY
National Provider Identifier
1225334865
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
298311 Issued in NY
Practice address
225 E 126TH St
New York, NY 10035-1406
Phone
(646) 968-9012
NPI assigned
Jan 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 298311 NY Primary
Radiation Oncology Physician 2085R0001X MD443367 PA

Addresses

Primary practice location

225 E 126TH St
New York, NY 10035-1406

Mailing address

225 E 126TH St
New York, NY 10035-1406
Phone (646) 813-1880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161012002593 MD Practitioner - Radiation Oncology 2567632672 Reassigns benefits to 2 organizations
I20190821002917 NY Practitioner - Radiation Oncology 2567632672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Perelman School of Med at the University of Pennsylvania, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Radiation Oncology GroupGroup PAC ID 8527957091, 92 clinicians
The New York Proton CenterGroup PAC ID 2466780218, 45 clinicians

Practice addresses (Care Compare)

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

225 E 126TH St
New York, NY 10035-1406
Phone (646) 968-9064

Hospital & facility affiliations

  • Memorial Hospital for Cancer and Allied Diseases Hospital, New York, NY, CCN 330154

Merit-based Incentive Payment System (MIPS)

Final score
43.79 of 100Reported as group
Quality
29.93
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.02 of 100Reported as group
Quality
93.67
Improvement activities
40
Cost
71.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD443367PAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Radiation Oncology Group Radiation Oncology CurrentSince Jul 1, 2019 Accepting new patients
University of Maryland Radiation Oncology Associates PA Radiation Oncology CurrentSince Nov 1, 2016 Accepting new patients
Maryland Proton Treatment Center, LLC CurrentSince Nov 1, 2016 Accepting new patients
The New York Proton Center Radiation Oncology CurrentSince Jul 9, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

850 W Baltimore St
Baltimore, MD 21201
Phone (410) 227-7434

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

225 E 126th St
New York, NY 10035
Phone (646) 813-1880

3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: csimone24847@mskcc.direct-ci.com
  • Direct secure messaging: charlessimone@nypc.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1296345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1225334865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 126TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351406",
            "telephone_number": "646-813-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E 126TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351406",
            "telephone_number": "646-968-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONE",
        "first_name": "CHARLES",
        "middle_name": "B",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-30",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "298311",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD443367",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.