Individual provider Active NPI

Piero Anthony Simone, MD

  • Ophthalmology Physician
  • Warren, MI
National Provider Identifier
1497769624
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
PS066663 Issued in MI
Practice address
29245 Ryan Rd
#100
Warren, MI 48092
Phone
(586) 558-5891
Fax
(586) 558-8338
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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 4301066663 MI
Ophthalmology Physician 207W00000X PS066663 MI Primary

Addresses

Primary practice location

29245 Ryan Rd
#100
Warren, MI 48092

Mailing address

29245 Ryan Rd
#100
Warren, MI 48092
Phone (586) 558-5891

Other identifiers 1

IdentifierTypeStateIssuer
4397424MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050917000394 MI Practitioner - Ophthalmology 3971536079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piero a Simone MD PCGroup PAC ID 3173556271, 4 clinicians

Practice addresses (Care Compare)

29245 Ryan Rd
Suite 100
Warren, MI 48092-4230
Phone (586) 558-2981

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Merit-based Incentive Payment System (MIPS)

Final score
85.39 of 100Reported as group
Quality
100
Improvement activities
40
Cost
51.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS066663MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piero a. Simone, M.D., P.C. Ophthalmology Current Accepting new patients
Piero a. Simone, M.D., P.C. Ophthalmology CurrentSince Apr 1, 2002 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Jul 14, 2018 Accepting new patients
William Beaumont Hospital Past Accepting new patients
John a. Vollmer, MD, PC Past Accepting new patients
Sterling Family Medicine PC Past Accepting new patients

Locations

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

15959 Hall Rd
Ste 202
Macomb, MI 48044
Phone (586) 247-5959

3535 W 13 Mile Rd
Ste 555
Royal Oak, MI 48073
Phone (248) 551-2020

3601 W 13 Mile Rd
Royal Oak, MI 48073

29245 Ryan Rd
Ste 100
Warren, MI 48092
Phone (586) 558-2981

Interoperability endpoints

  • Direct secure messaging: psimone1456668@epic00.shdirect.org

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.

Hospital & facility affiliations 1

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1497769624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29245 RYAN RD",
            "address_2": "#100",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48092",
            "telephone_number": "586-558-5891",
            "fax_number": "586-558-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29245 RYAN RD",
            "address_2": "#100",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48092",
            "telephone_number": "586-558-5891",
            "fax_number": "586-558-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONE",
        "first_name": "PIERO",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301066663",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "PS066663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4397424",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.