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MR. CHAD SIMON
NPI 1053975896
Student in an Organized Health Care Education/Training Program in Providence, RI

Active since April 26, 2019PECOS Enrolled
70 KENNEDY PLZ UNIT 2, PROVIDENCE, RI 02903(310) 984-0156 Get Directions Write a Review

NPPES record last updated: April 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Chad Simon NPPES

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

MR. CHAD SIMON (NPI 1053975896) is an individual student in an organized health care education/training program in Providence, Rhode Island and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053975896
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. CHAD SIMON
Location Address70 KENNEDY PLZ UNIT 2Providence, RI 02903-2000
Mailing Address70 Kennedy Plz Unit 2Providence, RI 02903-2000 · (310) 984-0156
Phone(310) 984-0156
Sole ProprietorNo
Enumeration DateApril 26, 2019
✔ NPI 1053975896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
70 KENNEDY PLZ UNIT 2, Providence, RI 02903
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Other Identifiers 1

OtherBHP831302102IL · Bluecross Blueshield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Chad Simon 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.

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 Chad Simon's NPI number?

The NPI number for Chad Simon is 1053975896. It was assigned to this individual provider in the NPPES registry on April 26, 2019.

Where is Chad Simon located?

Chad Simon practices at 70 Kennedy Plz Unit 2, Providence, RI 02903. The listed phone number is (310) 984-0156.

What is Chad Simon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Chad Simon enrolled in Medicare?

Yes. Chad Simon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chad Simon was last updated on April 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.