NPIMap

Individual provider Active NPI

Simon Levi Amsdell, M.D.

  • Orthopaedic Surgery Physician
  • Warren, PA
National Provider Identifier
1376868950
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD457305 Issued in PA
Practice address
2 W Crescent Park
Warren, PA 16365-2111
Phone
(814) 406-0035
Fax
(814) 726-9412
NPI assigned
Apr 7, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 12

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 6

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

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
West Virginia University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren General Hospital 100 clinicians

Practice addresses (Care Compare)

2 W Crescent Park
Warren, PA 16365-2111
Phone (814) 723-3300

Hospital & facility affiliations

  • Hospital Home Care Services Home health agency, Warren, PA, CCN 397092
  • Darling'S Home Care Home health agency, Warren, PA, CCN 398240
  • Warren General Hospital Hospital, Warren, PA, CCN 391319
  • Warren General Hospital Hospital, Warren, PA, CCN 390146
  • Upmc Kane Hospital, Kane, PA, CCN 391318

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement12
Knee replacement20
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)24

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160713001091 PA Practitioner - Orthopedic Surgery 9537469614 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Warren General Hospital CurrentSince May 25, 2016 Accepting new patients
Warren General Hospital CurrentSince May 25, 2016 Accepting new patients
Damian T Horner DO Family Practice CurrentSince Jan 2, 2018 Accepting new patients
Warren Medical Group Inc Past Accepting new patients

Locations

505 Foote Ave
Jamestown, NY 14701
Phone (716) 483-2285

17 Tollgate Rd
Sheffield, PA 16347
Phone (814) 593-1215

14 Plumber St
Warren, PA 16365
Phone (814) 723-2779

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

103 W Saint Clair St
Rm 2A
Warren, PA 16365
Phone (814) 723-1212

Interoperability endpoints

  • Direct secure messaging: simonamsdell@directaddress.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD457305 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

2 W Crescent Park
Warren, PA 16365-2111

Mailing address

1487 Stone Hill Rd
Warren, PA 16365-5401
Phone (419) 290-8102

Other practice location 1

601 Elmwood Ave
Box 665
Rochester, NY 14642-0001
Phone (585) 275-5168

Other practice location 2

505 Foote Ave
Jamestown, NY 14701-8204
Phone (716) 720-5623

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address simonamsdell@wagho.allscriptsdirect.net

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 12, 2020.

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1376868950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1487 STONE HILL RD",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163655401",
            "telephone_number": "419-290-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W CRESCENT PARK",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652111",
            "telephone_number": "814-406-0035",
            "fax_number": "814-726-9412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Elmwood Ave",
            "address_2": "Box 665",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146420001",
            "country_code": "US",
            "telephone_number": "585-275-5168",
            "fax_number": "585-756-4721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 Foote Ave",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NY",
            "postal_code": "147018204",
            "country_code": "US",
            "telephone_number": "716-720-5623",
            "fax_number": "716-720-5627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMSDELL",
        "first_name": "SIMON",
        "middle_name": "LEVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD457305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "simonamsdell@wagho.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "2 W Crescent Park",
            "city": "Warren",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163652111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.