DR. SIMON CORREA GAVIRIA MD, MMSC
NPI 1124601042
Internal Medicine - Nephrology in New Haven, CT
About Dr. Simon Correa Gaviria Md, Mmsc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SIMON CORREA GAVIRIA MD, MMSC (NPI 1124601042) is an individual nephrology provider in New Haven, Connecticut, licensed in Massachusetts (1027330) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Simon Correa Gaviria Md, Mmsc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Simon Correa Gaviria reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,234 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,360 clinicians in this Medicare group
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 06510 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
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 Simon Correa Gaviria's NPI number?
The NPI number for Simon Correa Gaviria is 1124601042. It was assigned to this individual provider in the NPPES registry on April 29, 2021.
Where is Simon Correa Gaviria located?
Simon Correa Gaviria practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-4242.
What is Simon Correa Gaviria's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Simon Correa Gaviria enrolled in Medicare?
Yes. Simon Correa Gaviria is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Simon Correa Gaviria's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Simon Correa Gaviria reassigns Medicare benefits to 2 organizations: The General Hospital Corporation (Boston, MA) and Massachusetts General Physicians Organization Inc (Boston, MA). 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 Simon Correa Gaviria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Simon Correa Gaviria accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Simon Correa Gaviria 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.
When was this NPI record last updated?
The NPPES record for Simon Correa Gaviria was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Dr. Simon Correa Gaviria, MD, MMSC · NPI 1124601042
Nephrology physician in New Haven, Connecticut. Individual provider, active in the CMS NPPES registry since April 29, 2021.
## Identity
- **NPI:** 1124601042 (Entity type: Individual)
- **Enumerated:** April 29, 2021
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 1027330 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 20 YORK ST, New Haven, CT 06510-3220
- **Phone:** (203) 688-4242
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The General Hospital Corporation (NPI 1023049236, Boston, MA); Massachusetts General Physicians Organization Inc (NPI 1801874573, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124601042) · Data from the CMS NPPES public registry.