Individual provider Active NPI

Iris Simbulan

  • Certified Registered Nurse Anesthetist
  • New York, NY
National Provider Identifier
1265050603
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4000482 Issued in KY
Practice address
560 W 168TH St
New York, NY 10032-3917
Phone
(212) 305-4318
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 717105 NY
Certified Registered Nurse Anesthetist 367500000X 4000482 KY Primary

Addresses

Primary practice location

560 W 168TH St
New York, NY 10032-3917

Mailing address

639 W 173Rd St Apt 8B
New York, NY 10032-1428
Phone (213) 300-0020

Other practice location 1

120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200

Other practice location 2

1107 Crown Pointe Dr Ste 107
Elizabethtown, KY 42701-7280
Phone (270) 506-3300

Other practice location 3

101 Prosperous Pl Ste 300
Lexington, KY 40509-1836
Phone (859) 275-5229

Other practice location 4

99 Wellpark Ln Apt 4
Campbellsville, KY 42718-4919
Phone (606) 260-8613

Other practice location 5

935 Chambers Blvd
Bardstown, KY 40004-2575
Phone (270) 506-3300

Other practice location 6

1216 N Race St
Glasgow, KY 42141-3462
Phone (270) 745-7246

Other practice location 7

165 Natchez Trace Ave Ste 205
Bowling Green, KY 42103-7947
Phone (270) 745-7246

Other practice location 8

4420 Dixie Hwy Ste 107
Louisville, KY 40216-2986
Phone (502) 855-7200

Other practice location 9

3920 Dutchmans Ln
Louisville, KY 40207-4702
Phone (502) 259-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240719002510 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305382870 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians

Practice addresses (Care Compare)

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000

3920 Dutchmans LN
Louisville, KY 40207-4702
Phone (502) 852-5341

4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8000

Hospital & facility affiliations

  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
717105NYMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Northstar Anesthesia of Kentucky, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Louisville Anesthesia Provision LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2024 Accepting new patients
Columbia School of Nursing CurrentSince Jul 9, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 1, 2025 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Commonwealth Pain Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 17, 2024 Accepting new patients
Commonwealth Pain Associates PLLC CurrentSince Jun 17, 2024 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

935 Chambers Blvd
Bardstown, KY 40004
Phone (270) 506-3300

165 Natchez Trace Ave
Ste 205
Bowling Green, KY 42103
Phone (270) 282-2024

99 Wellpark Ln
Apt 4
Campbellsville, KY 42718
Phone (606) 260-8613

2000 Tunnel Hill Rd
Elizabethtown, KY 42701
Phone (270) 304-2520

1216 N Race St
Glasgow, KY 42141
Phone (270) 651-7246

101 Prosperous Pl
Ste 300
Lexington, KY 40509
Phone (859) 271-3114

4004 DuPont Cir
Louisville, KY 40207
Phone (502) 896-6428

4420 Dixie Hwy
Ste 107
Louisville, KY 40216

850 S 28th St
Louisville, KY 40211
Phone (502) 629-7650

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

3920 Dutchmans Ln
Louisville, KY 40207
Phone (502) 259-6000

4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

560 W 168th St
New York, NY 10032
Phone (212) 305-4318

Interoperability endpoints

  • Direct secure messaging: iris.simbulan.2@16521.direct.athenahealth.com

Organizations & group practices 9

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 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1265050603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 W 173RD ST APT 8B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321428",
            "telephone_number": "213-300-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323917",
            "telephone_number": "212-305-4318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Executive Park",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074201",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 Crown Pointe Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427017280",
            "country_code": "US",
            "telephone_number": "270-506-3300",
            "fax_number": "270-506-2843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Prosperous Pl Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091836",
            "country_code": "US",
            "telephone_number": "859-275-5229",
            "fax_number": "859-977-2683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Wellpark Ln Apt 4",
            "address_purpose": "LOCATION",
            "city": "Campbellsville",
            "state": "KY",
            "postal_code": "427184919",
            "country_code": "US",
            "telephone_number": "606-260-8613",
            "fax_number": "859-977-2683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 Chambers Blvd",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400042575",
            "country_code": "US",
            "telephone_number": "270-506-3300",
            "fax_number": "270-506-2843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1216 N Race St",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421413462",
            "country_code": "US",
            "telephone_number": "270-745-7246",
            "fax_number": "270-282-2027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Natchez Trace Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421037947",
            "country_code": "US",
            "telephone_number": "270-745-7246",
            "fax_number": "270-282-2027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4420 Dixie Hwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402162986",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3920 Dutchmans Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074702",
            "country_code": "US",
            "telephone_number": "502-259-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMBULAN",
        "first_name": "IRIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "717105",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "4000482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.