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MELISSA SIMKOL MD
NPI 1043831266
Pediatrics in Washington, DC

Active since April 28, 2020PECOS Enrolled
3946 MINNESOTA AVE NE, WASHINGTON, DC 20019(202) 469-4699 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 16, 2023, Jun 8, 2023, Jun 10, 2020 (3 updates tracked since 2020).

About Melissa Simkol Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA SIMKOL MD (NPI 1043831266) is an individual pediatrics provider in Washington, District Of Columbia, licensed in District Of Columbia (MD210011749) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043831266
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMELISSA SIMKOLCredential: MD
Location Address3946 MINNESOTA AVE NEWashington, DC 20019-2661
Mailing Address3946 Minnesota Ave NeWashington, DC 20019-2661
Phone(202) 469-4699
Sole ProprietorNo
Enumeration DateApril 28, 2020
Last NPPES UpdateAugust 16, 20233 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
✔ NPI 1043831266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in DC · MD210011749
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3946 MINNESOTA AVE NE, Washington, DC 20019
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Simkol Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Melissa Simkol reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Unity Health Care, Inc.
5.0 mi
Federally Qualified Health Center (FQHC)
3020 14TH ST NW
Washington, DC 20009
  • Reassigned Medicare billing, District of Columbia enrollment
  • 343 clinicians in this Medicare group
NPI 1093894172 (202) 745-4300
Neighborhood Health
7.3 mi
Federally Qualified Health Center (FQHC)
2100 WASHINGTON BLVD STE 294
Arlington, VA 22204
  • Reassigned Medicare billing, District of Columbia enrollment
  • 58 clinicians in this Medicare group
NPI 1790001741 (703) 535-5568

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DOMINICQUE BLANCHE GRAY D.D.S.
Dentist (General Practice)
3946 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 397-1033
DANIELLE SMART DDS
Dentist (General Practice)
3946 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 397-1033
HERO VISION OF DC PLLC
Optometrist
3946 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 397-1033
DC DENTAL SPECIALTY CENTER, PC
Dentist (General Practice)
3946 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 397-1033
AHMED TAMIM M.D.
Dentist (Oral and Maxillofacial Surgery)
3946 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 397-1033
UNITY HEALTH CARE, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
3946 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 398-8683
DANIELLE FERNANDES PA-C
Physician Assistant (Medical)
3946 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 469-4699
SHWETA KOKATE DDS
Dentist
3946 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 397-1033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Simkol's NPI number?

The NPI number for Melissa Simkol is 1043831266. It was assigned to this individual provider in the NPPES registry on April 28, 2020.

Where is Melissa Simkol located?

Melissa Simkol practices at 3946 Minnesota Ave NE, Washington, DC 20019. The listed phone number is (202) 469-4699.

What is Melissa Simkol's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Melissa Simkol enrolled in Medicare?

Yes. Melissa Simkol is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Melissa Simkol's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Simkol reassigns Medicare benefits to 2 organizations: Unity Health Care, Inc. (Washington, DC) and Neighborhood Health (Arlington, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Simkol's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melissa Simkol was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.