Active NPI
Philip Simkovitz, MD
- Critical Care Medicine (Internal Medicine) Physician
- Trumbull, CT
National Provider Identifier
1346358744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 025732
- Practice address
- 5520 Park Avenue Suite 202
Trumbull, CT 06611 - Phone
- (203) 365-0577
- Fax
- (203) 365-0324
- NPI assigned
- Aug 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 025732 | CT | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 025732 | CT | Primary |
Addresses
Primary practice location
5520 Park Avenue Suite 202
Trumbull, CT 06611
Mailing address
5520 Park Ave Ste WP1-900
Trumbull, CT 06611-3463
Phone (203) 365-0577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001257329 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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
- Pulmonary Disease
- Education
- Boston University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579
2800 Main St
Bridgeport, CT 06606-4201
5520 Park Ave
Trumbull, CT 06611-3463
Phone (203) 365-0577
Hospital & facility affiliations
- St Vincent'S Medical Center
- Griffin Hospital
- Bridgeport Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.15 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 73.83
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025732 | CT | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Neighborhood Health, Inc. | Pulmonary Disease | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients |
Locations
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
Interoperability endpoints
- psimkovitz7526@direct.ynhh.org
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
- Hartford, CT
- NPI 1023584216
-
- General Practice Physician
- Torrington, CT
- NPI 1043544489
Pulmonary Disease
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1942224696
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1346358744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5520 PARK AVE STE WP1-900",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066113463",
"telephone_number": "203-365-0577",
"fax_number": "203-365-0324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5520 PARK AVENUE SUITE 202",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "06611",
"telephone_number": "203-365-0577",
"fax_number": "203-365-0324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMKOVITZ",
"first_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-26",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CT",
"license": "025732",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CT",
"license": "025732",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001257329",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.