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ADRIA SIMON M.D.
NPI 1134571748
Emergency Medicine in Castro Valley, CA

Active since July 07, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
20103 LAKE CHABOT RD, CASTRO VALLEY, CA 94546(510) 727-3015(626) 623-1227 Get Directions Write a Review

NPPES record last updated: June 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2019, Apr 19, 2019, Oct 16, 2016 (3 updates tracked since 2016).

About Adria Simon M.d. NPPES

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

ADRIA SIMON M.D. (NPI 1134571748) is an individual emergency medicine provider in Castro Valley, California, licensed in California (A178515) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2016).

NPPES Registry Identity

NPI1134571748
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameADRIA SIMONCredential: M.D.
Location Address20103 LAKE CHABOT RDCastro Valley, CA 94546-5305
Mailing AddressPo Box 98San Dimas, CA 91773-0098 · (877) 346-2211 · Fax (626) 623-1227
Phone(510) 727-3015
Fax(626) 623-1227
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2016
Enumeration DateJuly 7, 2016
Last NPPES UpdateJune 25, 20223 updates tracked since enumeration
NPPES CertifiedJune 25, 2022
✔ NPI 1134571748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CA · A178515✔ Licensed in PA · MD466534✔ Licensed in PA · MT211577
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
20103 LAKE CHABOT RD, Castro Valley, CA 94546
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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

Adria 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 ID8123316221
PECOS Enrollment IDI20220708002279
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
509 services484 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
296 services284 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
198 services192 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
65 services65 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94546 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 as part of a group practice
Quality94.14
Improvement Activities40
Cost78.74

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. OLUWASEYI SEGUN BALASIRE M.D.
Hospitalist
20103 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Alameda County (510) 727-3256
LATRICIA A AMADEO RN
Registered Nurse
20103 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Alameda County (205) 915-5496
SARAH NOONBERG MD, PHD
Internal Medicine
20103 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Alameda County (510) 889-5082
DR. MOYRA N RASHEED M.B.B.S
Hospitalist
20103 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Alameda County (510) 727-3256
DOMINIC K TRAN PHARMD
Pharmacist (Ambulatory Care)
20103 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Alameda County (510) 537-1234
THOMAS EALES DO
Emergency Medicine
20103 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Alameda County (510) 727-3320
OMAR FAISAL SALEEM MD
Internal Medicine
20103 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Alameda County (510) 727-3256
ERIC S. BELLFORT PA
Physician Assistant
20103 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Alameda County (209) 342-2300

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 Adria Simon's NPI number?

The NPI number for Adria Simon is 1134571748. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Where is Adria Simon located?

Adria Simon practices at 20103 Lake Chabot Rd, Castro Valley, CA 94546. The listed phone number is (510) 727-3015.

What is Adria Simon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Adria Simon enrolled in Medicare?

Yes. Adria 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.

When was this NPI record last updated?

The NPPES record for Adria Simon was last updated on June 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.