Individual provider Active NPI

Simbiat A Monsur, PA-C

  • Physician Assistant
  • Ann Arbor, MI
National Provider Identifier
1720237183
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005385 Issued in MI
Practice address
1500 E Medical Center Dr
B1 Floor Taubman Center Recp Mos
Ann Arbor, MI 48109-5317
Phone
(724) 232-2867
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601005385 MI Primary

Addresses

Primary practice location

1500 E Medical Center Dr
B1 Floor Taubman Center Recp Mos
Ann Arbor, MI 48109-5317

Mailing address

700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047

Other identifiers 1

IdentifierTypeStateIssuer
700E012740OtherMIBCBS GROUP NUMBER

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090202000027 MI Practitioner - Physician Assistant 2567526841 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Wyandotte HospitalGroup PAC ID 2264334499, 194 clinicians
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

2070 Biddle Ave
Suite 2
Wyandotte, MI 48192-4080
Phone (734) 284-7482

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 246-6000

3337 Britton Rd
Perry, MI 48872-9706
Phone (517) 625-3004

826 W King St
Owosso, MI 48867-2120

Hospital & facility affiliations

  • Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146
  • Memorial Healthcare Hospital, Owosso, MI, CCN 230121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Wyandotte Hospital CurrentSince May 24, 2023 Accepting new patients
Regents of the University of Michigan CurrentSince Jun 23, 2015 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Apr 28, 2015 Accepting new patients
Memorial Hospital CurrentSince Jan 3, 2022 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Apr 1, 2023 Accepting new patients
W.a. Foote Memorial Hospital, Inc Physician Assistant CurrentSince Jul 1, 2019 Accepting new patients
Henry Ford Macomb Hospital Corporation Physician Assistant CurrentSince Apr 28, 2015 Accepting new patients
Regents of the University of Michigan Physician Assistant CurrentSince Jun 23, 2015 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Jul 1, 2019 Accepting new patients
Memorial Hospital Physician Assistant CurrentSince Jan 3, 2022 Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince May 24, 2023 Accepting new patients
Memorial Hospital Physician Assistant Past Accepting new patients

Locations

1500 E Medical Center Dr
Fl Taubman
Ann Arbor, MI 48109
Phone (734) 232-2867

1801 Briarwood Cir
Ann Arbor, MI 48108
Phone (734) 539-5000

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

49310 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 731-8900

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482

Interoperability endpoints

  • Direct secure messaging: smonsur4442@direct.hfhs.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1720237183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "address_2": "B1 FLOOR TAUBMAN CENTER RECP MOS",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095317",
            "telephone_number": "724-232-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONSUR",
        "first_name": "SIMBIAT",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "700E012740",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.