Matthew P. Simonich, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

CO36912 Issued in CO

Practice address

1919 W US Highway 50
Pueblo, CO 81008-1618

Phone

(719) 253-7102

Fax

(719) 253-7114

NPI assigned

Jan 26, 2006

Last updated

May 16, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO, NE2 enrollments

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 2

Specialty

Orthopedic Surgery

Education

University of Texas Medical School at San Antonio, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pueblo Bone and Joint Clinic LLCGroup PAC ID 0244132066, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary-Corwin Hospital Hospital, Pueblo, CO, CCN 060012

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pueblo Bone and Joint Clinic LLC

  • Orthopaedic Surgery Physician
  • Pueblo, CO
  • NPI 1568534642
  Medicare reassignment Care Compare group NPD
• CHI Health Clinic Specialty, LLC

  • Hospitalist Physician
  • Lincoln, NE
  • NPI 1285138065
  Medicare reassignment NPD
• Pueblo Ambulatory Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Pueblo, CO
  • NPI 1639134505
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catholic Health Initiatives Colorado

  dba St. Mary-Corwin Hospital

  • General Acute Care Hospital
  • Pueblo, CO
  • NPI 1306857974
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba St. Mary-Corwin Wound Care Center

  • General Acute Care Hospital
  • Pueblo, CO
  • NPI 1841830452
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba Centura Health - St. Mary Corwin Hospital

  • Nursing Facility/Intermediate Care Facility
  • Pueblo, CO
  • NPI 1942391487

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1790755056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 W US HIGHWAY 50",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081618",
            "telephone_number": "719-253-7102",
            "fax_number": "719-253-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 W US HIGHWAY 50",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081618",
            "telephone_number": "719-253-7102",
            "fax_number": "719-253-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONICH",
        "first_name": "MATTHEW",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "CO36912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01369123",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alfonso Manuel Silva, BA CAC I
• Heather Amber Silva
• Michael Gordon Silver, MD
• Dyna A Simmons, PT
• Robert W. Simmons, PA-C
• James E Simony II, M.D.
• Simple Medicaid Ride LLC (Simple Medicaid Ride)
• Simplified Telehealth LLC (Simplified Care)
• Amy Simpson
• Brooke Simpson, P.T., D.P.T.

• Orthopaedic Surgery Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Orthopaedic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.

Verify at the official NPI Registry.