Active NPI
Mark A Simaga, MD
- Neurology Physician
- Hobart, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 01046578
- Practice address
- 1600 S Lake Park Ave
Suite 1102
Hobart, IN 46342-6641 - Phone
- (219) 947-6960
- Fax
- (219) 947-6960
- NPI assigned
- Jan 18, 2007
- Last updated
- Dec 17, 2012
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 01046578A | IN | |
| Neurology Physician | 2084N0400X | 01046578 | IN | Primary |
Addresses
Primary practice location
1600 S Lake Park Ave
Suite 1102
Hobart, IN 46342-6641
Mailing address
1600 S. Lake Park Ave
Suite 1102
Hobart, IN 46342-6641
Phone (219) 736-6955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84104 | Other | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Rush Medical College of Rush University, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3800 Saint Mary Rd
Suite 101
Valparaiso, IN 46383-3986
Phone (219) 947-6122
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01046578 | IN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Network Inc | Neurological Surgery | Current | Accepting new patients |
Locations
1600 S Lake Park Ave
Ste 1102
Hobart, IN 46342
Phone (219) 736-6955
1600 S Lake Park Ave
Ste 1103
Hobart, IN 46342
Phone (219) 947-6448
8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
3800 Saint Mary Rd
Ste 101
Valparaiso, IN 46383
Phone (219) 738-2081
Interoperability endpoints
- msimaga7033@ssdirect.comhs.org
Organizations & group practices 1
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.
-
dba Powers Health Medical Group
- Family Medicine Physician
- Saint John, IN
- NPI 1457610487
Neurological Surgery
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Powers Health Rehabilitation Center
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
dba Community Hospital
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1689776882
-
dba Home Health of St Mary Medical Center
- Home Health Agency
- Hobart, IN
- NPI 1528160736
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355702400000",
"number": "1598818270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 S. LAKE PARK AVE",
"address_2": "SUITE 1102",
"city": "HOBART",
"state": "IN",
"postal_code": "463426641",
"telephone_number": "219-736-6955",
"fax_number": "219-736-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S LAKE PARK AVE",
"address_2": "SUITE 1102",
"city": "HOBART",
"state": "IN",
"postal_code": "463426641",
"telephone_number": "219-947-6960",
"fax_number": "219-947-6960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMAGA",
"first_name": "MARK",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2012-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IN",
"license": "01046578A",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01046578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "84104",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hobart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.