GORDANA SIMEUNOVIC M.D.
NPI 1104133776
Internal Medicine - Infectious Disease in Grand Rapids, MI

Q: What is Gordana Simeunovic's NPI number?

The NPI number for Gordana Simeunovic is 1104133776. It was assigned to this individual provider in the NPPES registry on September 2, 2010.

Q: What is Gordana Simeunovic's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Active since September 02, 2010PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

230 MICHIGAN ST NE, SUITE 230, GRAND RAPIDS, MI 49503(616) 774-2822 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gordana Simeunovic M.d. NPPES

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

GORDANA SIMEUNOVIC M.D. (NPI 1104133776) is an individual infectious disease provider in Grand Rapids, Michigan, licensed in Michigan (4301095839) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1104133776

Entity TypeIndividualFemale

Primary Taxonomy207RI0200X

Provider Legal NameGORDANA SIMEUNOVICCredential: M.D.

Location Address230 MICHIGAN ST NE, SUITE 230Grand Rapids, MI 49503-2550

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(616) 774-2822

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateSeptember 2, 2010

Last NPPES UpdateFebruary 17, 2021

NPPES CertifiedFebruary 17, 2021

✔ NPI 1104133776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in MI · 4301095839

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

230 MICHIGAN ST NE, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gordana Simeunovic M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032421649

PECOS Enrollment IDI20150709001871

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

90 services46 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

68 services66 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

22 services21 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

14 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.54

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

JOANN ELIZABETH BAAR FNP

Nurse Practitioner (Family)

230 MICHIGAN ST NE, SUITE 230
GRAND RAPIDS, MI 49503

Kent County (616) 774-2822

BC PRICE PROFESSIONAL SERVICES LLC

Social Worker (Clinical)

230 MICHIGAN ST NE, STE# 102
GRAND RAPIDS, MI 49503

Kent County (616) 540-7089

AZIZULLAH KHAN MD

Internal Medicine (Infectious Disease)

230 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 774-2822

MIMI EMIG M.D.

Internal Medicine (Infectious Disease)

230 MICHIGAN ST NE, SUITE 230
GRAND RAPIDS, MI 49503

Kent County (616) 774-2822

DR. PATRICIA REILLY LAGRAND MD

Internal Medicine

230 MICHIGAN ST NE, STE 102
GRAND RAPIDS, MI 49503

Kent County (616) 971-0060

VALERI A. RUSCO PAC

Physician Assistant (Surgical)

230 MICHIGAN ST NE, SUITE 300
GRAND RAPIDS, MI 49503

Kent County (616) 459-7101

MR. THOMAS SZCZYTKO CP

Prosthetist

230 MICHIGAN ST NE, STE 200
GRAND RAPIDS, MI 49503

Kent County (616) 459-7101

CAROL IRENE TENEYCK NP

Clinical Nurse Specialist (Medical-Surgical)

230 MICHIGAN ST NE, SUITE 230
GRAND RAPIDS, MI 49503

Kent County (616) 774-2822

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 Gordana Simeunovic's NPI number?

The NPI number for Gordana Simeunovic is 1104133776. It was assigned to this individual provider in the NPPES registry on September 2, 2010.

Where is Gordana Simeunovic located?

Gordana Simeunovic practices at 230 Michigan St NE Suite 230, Grand Rapids, MI 49503. The listed phone number is (616) 774-2822.

What is Gordana Simeunovic's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Gordana Simeunovic enrolled in Medicare?

Yes. Gordana Simeunovic is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gordana Simeunovic accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Gordana Simeunovic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gordana Simeunovic affiliated with any hospitals?

According to CMS data, Gordana Simeunovic is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Gordana Simeunovic was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.