Individual provider Active NPI

Shiloh A Simons, DO

  • Ophthalmology Physician
  • San Diego, CA
National Provider Identifier
1447387279
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20A17687 Issued in CA
Practice address
3075 Health Center Dr Ste 403
San Diego, CA 92123-2773
Phone
(858) 278-9900
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 46954 WI
Ophthalmology Physician 207W00000X 20A17687 CA Primary

Addresses

Primary practice location

3075 Health Center Dr Ste 403
San Diego, CA 92123-2773

Mailing address

75 Enterprise Ste 200
Aliso Viejo, CA 92656-2626
Phone (949) 554-4688

Other identifiers 1

IdentifierTypeStateIssuer
43516000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040924001059 WI Practitioner - Ophthalmology 1850360090 Reassigns benefits to 1 organization
I20200417002633 CA Practitioner - Ophthalmology 1850360090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3075 Health Ctr Dr
Suite 403
San Diego, CA 92123-2773
Phone (858) 278-9900

Merit-based Incentive Payment System (MIPS)

Final score
81.61 of 100Reported as group
Quality
81.78
Promoting interoperability
74
Improvement activities
40
Cost
78.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery145
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A17687CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Dec 29, 2017 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Dec 29, 2017 Accepting new patients
Thomas S Tooma M D a Professional Corporation Ophthalmology CurrentSince Apr 17, 2020 Accepting new patients
Specialists Surgery Center of del Mar LLC Ophthalmology Current Accepting new patients
Thomas S Tooma M D a Professional Corporation Ophthalmology CurrentSince Apr 17, 2020 Accepting new patients
Thomas S. Tooma, M.D. a Professional Corporation Ophthalmology Past Accepting new patients

Locations

75 Enterprise
Ste 200
Aliso Viejo, CA 92656
Phone (949) 688-6205

3075 Health Center Dr
Ste 403
San Diego, CA 92123
Phone (858) 278-9900

3655 Nobel Dr
Ste 130
San Diego, CA 92122
Phone (858) 283-5371

8010 Frost St
Ste 510
San Diego, CA 92123
Phone (858) 278-9900

29980 Network Pl
Chicago, IL 60673

824 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1447387279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ENTERPRISE STE 200",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562626",
            "telephone_number": "949-554-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 HEALTH CENTER DR STE 403",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232773",
            "telephone_number": "858-278-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "SHILOH",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "46954",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A17687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43516000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.