Active NPI
Simona C Eng, DO
- Internal Medicine Physician
- Salisbury, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H0057410
- Practice address
- 100 E Carroll St
Salisbury, MD 21801-5422 - Phone
- (410) 543-7536
- Fax
- (410) 543-7272
- NPI assigned
- Jul 14, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H0057410 | MD | Primary |
Addresses
Primary practice location
100 E Carroll St
Salisbury, MD 21801-5422
Mailing address
100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 543-7536
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 757000700 | Medicaid | MD | |
| 1000032900 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 912-4976
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.92 of 100
- Quality
- 74.47
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 75.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidalhealth Peninsula Regional, Inc. | Internal Medicine | Current | Accepting new patients |
| Tidalhealth Peninsula Regional, Inc. | Current | Accepting new patients | |
| Tidalhealth Specialty Care, LLC | Current | Accepting new patients |
Locations
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616
145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Tidalhealth Peninsula Regional Inc | Hospital | Corporate Director | Oct 31, 2017 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
Corporate Director
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.
-
- Medical Specialty Clinic/Center
- Salisbury, MD
- NPI 1619504735
-
- Family Medicine Physician
- Salisbury, MD
- NPI 1184832040
Internal Medicine
-
- Community/Retail Pharmacy
- Salisbury, MD
- NPI 1871031559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398297600000",
"number": "1265431027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E CARROLL ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015422",
"telephone_number": "410-543-7536",
"fax_number": "410-543-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E CARROLL ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015422",
"telephone_number": "410-543-7536",
"fax_number": "410-543-7272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENG",
"first_name": "SIMONA",
"middle_name": "C",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-14",
"last_updated": "2014-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "H0057410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "757000700",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000032900",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.