Individual provider Active NPI

Simran Kaur Matta, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1962829036
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C1-0013241 Issued in DE
Practice address
2040 W Charleston Blvd
Ste 300.
Las Vegas, NV 89102-2227
Phone
(702) 671-2345
NPI assigned
Mar 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C1-0013241 DE Primary

Addresses

Primary practice location

2040 W Charleston Blvd
Ste 300.
Las Vegas, NV 89102-2227

Mailing address

2040 W Charleston Blvd
Ste 300.
Las Vegas, NV 89102-2227
Phone (702) 671-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20190819001289 DE Practitioner - Critical Care (Intensivists)Practitioner - Hospitalist 2062631112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Hospitalist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group Delaware IncGroup PAC ID 9638312572, 94 clinicians

Practice addresses (Care Compare)

100 Wellness Way
Milford, DE 19963-4364
Phone (302) 430-5175

640 S State St
Dover, DE 19901-3530
Phone (302) 674-4700

Hospital & facility affiliations

  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004

Merit-based Incentive Payment System (MIPS)

Final score
89.66 of 100Reported as group
Quality
81.55
Improvement activities
40
Cost
75.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0013241DEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group, Delaware, Inc Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Bayhealth Medical Center, Inc. Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

640 S State St
Dover, DE 19901
Phone (302) 744-4700

Organizations & group practices 2

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 2

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1962829036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 W CHARLESTON BLVD",
            "address_2": "STE 300.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022227",
            "telephone_number": "702-671-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 W CHARLESTON BLVD",
            "address_2": "STE 300.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022227",
            "telephone_number": "702-671-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTA",
        "first_name": "SIMRAN KAUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0013241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.