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KAREN SIMON M.D.
NPI 1124138557
Internal Medicine - Hematology & Oncology in New York, NY

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
227 E 19TH ST, 8TH FLOOR, BLDG 'C', NEW YORK, NY 10003(212) 995-7410(212) 995-7411 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen Simon M.d. NPPES

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

KAREN SIMON M.D. (NPI 1124138557) is an individual hematology & oncology provider in New York, New York, licensed in New York (162539) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Harlem Hospital Center, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1124138557
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameKAREN SIMONCredential: M.D.
Location Address227 E 19TH ST, 8TH FLOOR, BLDG 'C'New York, NY 10003-2602
Mailing Address227 E 19th St, 8th Floor, Bldg 'c'New York, NY 10003-2602 · (212) 995-7410 · Fax (212) 995-7411
Phone(212) 995-7410
Fax(212) 995-7411
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124138557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NY · 162539
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
227 E 19TH ST, New York, NY 10003
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type Unspecified41F42
Medicaid01173528NY
Medicare UPINE44785NY
Other165253960NYNY · Local 1199
Other0125409NY · Ghi Ppo

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

Karen Simon 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 ID3173629573
PECOS Enrollment IDI20070501000562
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 6

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 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.
412 services142 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
92 services86 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.
38 services37 patients
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.
32 services22 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.
30 services29 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
26 services17 patients

Hospital Affiliations CMS Care Compare

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

Harlem Hospital Center

Acute Care Hospitals · New York, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330240
Location506 Lenox AvenueNew York, NY 10037 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10003 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers11 claims330 services$2.63 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims4,370 services$0.32 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers11 claims11 services$903.71 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers14 claims14 services$6.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. JURIJ E. STECKO M.D.
Internal Medicine (Cardiovascular Disease)
227 E 19TH ST, SUITE B-501
NEW YORK, NY 10003
New York County (212) 995-6866
CABRINI MEDICAL CENTER
General Acute Care Hospital
227 E 19TH ST
NEW YORK, NY 10003
New York County (212) 995-6156
MR. PETER C GARDELLA LCSW
Social Worker (Clinical)
227 E 19TH ST
NEW YORK, NY 10003
New York County (212) 995-6860
DR. WILLIAM DINAN M.D.
Internal Medicine (Pulmonary Disease)
227 E 19TH ST, 502 D
NEW YORK, NY 10003
New York County (212) 995-6659
CABRINI MEDICAL CENTER
Family Medicine
227 E 19TH ST
NEW YORK, NY 10003
New York County (212) 563-2497
NEW BEAUTY MEDICAL PC
Anesthesiology
227 E 19TH ST, CABRINI MEDICAL CENTER
NEW YORK, NY 10003
New York County (212) 995-6000
CABRINI MEDICAL CENTER
Preventive Medicine (Undersea and Hyperbaric Medicine)
227 E 19TH ST, HYPERBARIC UNIT
NEW YORK, NY 10003
New York County (212) 563-2497
DR. MARINA MARGOLINA M.D.
Radiology (Diagnostic Radiology)
227 E 19TH ST
NEW YORK, NY 10003
New York County (212) 995-6117

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 Karen Simon's NPI number?

The NPI number for Karen Simon is 1124138557. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Karen Simon located?

Karen Simon practices at 227 E 19th St 8th Floor, Bldg 'c', New York, NY 10003. The listed phone number is (212) 995-7410.

What is Karen Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Karen Simon enrolled in Medicare?

Yes. Karen Simon 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.

Is Karen Simon affiliated with any hospitals?

According to CMS data, Karen Simon is affiliated with Harlem Hospital Center.

When was this NPI record last updated?

The NPPES record for Karen Simon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.