Individual provider Active NPI

Simon P Horslen, MB CHB

  • Pediatric Gastroenterology Physician
  • Pittsburgh, PA
National Provider Identifier
1750471645
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
LT000881 Issued in PA
Practice address
4401 Penn Ave # 6130
Pittsburgh, PA 15224-1334
Phone
(412) 692-5676
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X TR00044541 WA
Pediatric Gastroenterology Physician 2080P0206X TR00044541 WA
Pediatric Gastroenterology Physician 2080P0206X LT000881 PA Primary

Addresses

Primary practice location

4401 Penn Ave # 6130
Pittsburgh, PA 15224-1334

Mailing address

4401 Penn Ave # 6130
Pittsburgh, PA 15224-1334
Phone (412) 692-5676

Other identifiers 2

IdentifierTypeStateIssuer
8368581MedicaidWA
328310OtherINTERNAL ID-MOTOR VEHICLE ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CHP@upmcdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210909000250 PA Practitioner - Pediatric MedicinePractitioner - Gastroenterology 4880634120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Mar 1, 2024 Accepting new patients
Pinnacle Health Medical Services Gastroenterology CurrentSince Mar 1, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2021 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
University of Pittsburgh Physicians Gastroenterology Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2021 Accepting new patients

Locations

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

3 Walnut St
Ste 205
Lemoyne, PA 17043
Phone (717) 909-0520

4401 Penn Ave
#6130
Pittsburgh, PA 15224
Phone (412) 692-5676

519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1750471645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 PENN AVE # 6130",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241334",
            "telephone_number": "412-692-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 PENN AVE # 6130",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241334",
            "telephone_number": "412-692-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSLEN",
        "first_name": "SIMON",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MB CHB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "TR00044541",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "WA",
            "license": "TR00044541",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "PA",
            "license": "LT000881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8368581",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL ID-MOTOR VEHICLE ID",
            "identifier": "328310",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHP@upmcdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4401 Penn Ave # 6130",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152241334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.