Active NPI
Iris Simbulan
- Certified Registered Nurse Anesthetist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4000482
- 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
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 |
|---|---|---|---|---|
| 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
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
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
- Norton Hospitals, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 717105 | NY | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Anesthesia Services of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Northstar Anesthesia of Kentucky, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Louisville Anesthesia Provision LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Columbia School of Nursing | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Commonwealth Pain Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Commonwealth Pain Associates PLLC | Current | 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
- 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.
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1992212807
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- Interventional Pain Medicine Physician
- Louisville, KY
- NPI 1306280177
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Columbus, IN
- NPI 1548442650
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1386938900
Nurse Anesthetist, Certified Registered
-
- Nursing Care Agency
- New York, NY
- NPI 1578240479
-
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1114753720
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1386990232
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1699514463
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1831195908
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1891799227
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.