Individual provider Active NPI

Simon David Eiref, MD

  • Surgery Physician
  • Danbury, CT
National Provider Identifier
1992772388
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
66121 Issued in CT
Practice address
24 Hospital Ave
Danbury, CT 06810-6099
Phone
(203) 739-7131
Fax
(203) 739-1554
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 66121 CT Primary
Surgery Physician 208600000X 2212921 NY

Addresses

Primary practice location

24 Hospital Ave
Danbury, CT 06810-6099

Mailing address

24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7131

Other identifiers 1

IdentifierTypeStateIssuer
021718192MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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

Enrollment IDStateProvider typePAC IDDetails
I20060111001038 NY Practitioner - General SurgeryPractitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 2860415247 Reassigns benefits to 2 organizations
I20200918000700 CT Practitioner - General Surgery 2860415247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Columbia University College of Physicians and Surgeons, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

111 Osborne St
Suite 121
Danbury, CT 06810-6019
Phone (203) 739-7038

Hospital & facility affiliations

  • Western Connecticut Home Care Inc Home health agency, Danbury, CT, CCN 077088
  • Danbury Hospital Hospital, Danbury, CT, CCN 070033

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66121CTMDSurgery Physician
2212921NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Surgery CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 4, 2017 Accepting new patients
Nuvance Health Medical Practice CT, Inc. Surgery CurrentSince Aug 17, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Surgery CurrentSince Nov 4, 2017 Accepting new patients
Ronald S Levandusky MD PC Past Accepting new patients
Bimc Faculty Practice Past Accepting new patients
Bimc Faculty Practice Surgery Past Accepting new patients

Locations

111 Osborne St
Ste 121
Danbury, CT 06810
Phone (203) 739-7010

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

111 Osborne St
Danbury, CT 06810
Phone (203) 739-7131

10 Union Sq E
#2
New York, NY 10003
Phone (212) 420-3960

150 E 42nd St
New York, NY 10017
Phone (212) 661-8139

10 Nathan D Perlman Pl
New York, NY 10003
Phone (212) 420-2124

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

55 E 34th St
Fl 5
New York, NY 10016
Phone (212) 252-6005

10 Union Sq E
Ste 2P
New York, NY 10003
Phone (212) 844-8200

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

Organizations & group practices 8

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 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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1992772388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106099",
            "telephone_number": "203-739-7131",
            "fax_number": "203-739-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106099",
            "telephone_number": "203-739-7131",
            "fax_number": "203-739-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIREF",
        "first_name": "SIMON",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "66121",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "2212921",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021718192",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.