Active NPI
Shiloh A Simons, DO
- Ophthalmology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 20A17687
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43516000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 100
- Quality
- 81.78
- Promoting interoperability
- 74
- Improvement activities
- 40
- Cost
- 78.59
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 145 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A17687 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Thomas S Tooma M D a Professional Corporation | Ophthalmology | Current | Accepting new patients |
| Specialists Surgery Center of del Mar LLC | Ophthalmology | Current | Accepting new patients |
| Thomas S Tooma M D a Professional Corporation | Ophthalmology | Current | 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.
-
- Ophthalmology Physician
- Newport Beach, CA
- NPI 1922129865
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
- Ambulatory Surgical Clinic/Center
- San Diego, CA
- NPI 1700985397
Ophthalmology
-
- Optometrist
- San Diego, CA
- NPI 1215583257
Ophthalmology
-
- Clinic/Center
- Stevens Point, WI
- NPI 1679706022
-
- Ophthalmology Physician
- Newport Beach, CA
- NPI 1386764983
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.