Individual provider Active NPI

Vincent Simone Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Maplewood, MN
National Provider Identifier
1427053917
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
750 Issued in MN
Practice address
2945 Hazelwood St
Maplewood, MN 55109-1241
Phone
(651) 232-7800
NPI assigned
Jun 20, 2005
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 750 MN
Foot & Ankle Surgery Podiatrist 213ES0103X 750 MN Primary

Addresses

Primary practice location

2945 Hazelwood St
Maplewood, MN 55109-1241

Mailing address

1700 University Ave W
Saint Paul, MN 55104-3727

Other identifiers 4

IdentifierTypeStateIssuer
2700627OtherMNMEDICA
43243500MedicaidWI
1205933533OtherPREFERRED ONE
769462800MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050623000215 MN Practitioner - Podiatry 2365406048 Reassigns benefits to 4 organizations
I20090723000802 WI Practitioner - Podiatry 2365406048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians
Fairview Specialty ServicesGroup PAC ID 3072083286, 303 clinicians

Practice addresses (Care Compare)

14101 Fairview Dr
Suite 140
Burnsville, MN 55337-2515
Phone (612) 365-5000

2945 Hazelwood St
Suite 100
Maplewood, MN 55109-1242
Phone (651) 232-7800

480 Hwy 96 E
Vadnais Heights, MN 55127-2557
Phone (651) 326-5900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.68 of 100Reported as group
Quality
89.73
Promoting interoperability
100
Improvement activities
40
Cost
80.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue554
Removal of nail tissue47
Removal or shaving of skin growth26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Burnett Medical Center Inc Current Accepting new patients
Burnett Medical Center Inc CurrentSince Dec 10, 2018 Accepting new patients
Burnett Medical Center Inc CurrentSince Dec 10, 2018 Accepting new patients
Healtheast Medical Research Institute CurrentSince Oct 1, 2018 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Oct 1, 2018 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Express Care CurrentSince Dec 29, 2023 Accepting new patients
Fairview Express Care CurrentSince Dec 29, 2023 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast St. John's Hospital Past Accepting new patients
Allina Health System Past Accepting new patients

Locations

14101 Fairview Dr
Ste 140
Burnsville, MN 55337

6936 Pine Arbor Dr S
Ste 100
Cottage Grove, MN 55016
Phone (651) 326-5800

2945 Hazelwood St
Maplewood, MN 55109
Phone (651) 232-7800

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

1099 Helmo Ave N
Ste 100
Saint Paul, MN 55128
Phone (651) 326-5300

1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800

17 Exchange St W
Ste 835
Saint Paul, MN 55102
Phone (651) 232-4200

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1983 Sloan Pl
Ste 1
Saint Paul, MN 55117
Phone (651) 326-5700

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

980 Rice St
Saint Paul, MN 55117
Phone (651) 326-9020

480 Highway 96 E
Vadnais Heights, MN 55127
Phone (651) 326-5900

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

257 W Saint George Ave
Grantsburg, WI 54840
Phone (715) 463-5353

Interoperability endpoints

  • Direct secure messaging: vsimone631406@fairview.direct-ci.com

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1427053917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727",
            "fax_number": "651-748-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 HAZELWOOD ST",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091241",
            "telephone_number": "651-232-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONE",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "750",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2700627",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43243500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1205933533",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "769462800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.