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DR. SEGUN V SIMON MD
NPI 1194956490
Internal Medicine - Nephrology in Maplewood, NJ

Active since August 04, 2009PECOS EnrolledAccepts Medicare Assignment
2130 MILLBURN AVE, SUITE C-3, MAPLEWOOD, NJ 07040(973) 996-2727(973) 763-2558 Get Directions Write a Review

NPPES record last updated: November 22, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Segun V Simon Md NPPES

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

DR. SEGUN V SIMON MD (NPI 1194956490) is an individual nephrology provider in Maplewood, New Jersey, licensed in New Jersey (25MA08683000) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1194956490
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. SEGUN V SIMONCredential: MD
Location Address2130 MILLBURN AVE, SUITE C-3Maplewood, NJ 07040-3725
Mailing AddressPo Box 373Short Hills, NJ 07078-0373 · (973) 996-2727 · Fax (973) 763-2558
Phone(973) 996-2727
Fax(973) 763-2558
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 4, 2009
Last NPPES UpdateNovember 22, 2014
✔ NPI 1194956490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NJ · 25MA08683000
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2130 MILLBURN AVE, Maplewood, NJ 07040
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN2074021NJ
Medicaid0371254NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. Segun V Simon Md 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 ID6608920889
PECOS Enrollment IDI20120920000116
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 7

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.
999 services185 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.
493 services98 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
301 services49 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.
208 services177 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
168 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
90 services48 patients

Hospital Affiliations CMS Care Compare 3

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

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310009
LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County
Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07040 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

MR. MOSES MYERS JR. MS, LCADC,SAP
Counselor (Addiction (Substance Use Disorder))
2130 MILLBURN AVE, SUITE D1
MAPLEWOOD, NJ 07040
Essex County (908) 875-5123
AUNJULI A. HICKS LPC LIMITED LIABILITY COMPANY
Counselor (Mental Health)
2130 MILLBURN AVE, STE C8
MAPLEWOOD, NJ 07040
Essex County (908) 364-7611
MS. NATASHA NICKOLE MANNING PH.D., LPC
Counselor (Professional)
2130 MILLBURN AVE, SUITE D1
MAPLEWOOD, NJ 07040
Essex County (973) 536-7486
CLARA ALLISON
Massage Therapist
2130 MILLBURN AVE, SUITE C8 FLR C
MAPLEWOOD, NJ 07040
Essex County (973) 259-6966
JEFFREY TUCKER LCSW
Social Worker (Clinical)
2130 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (646) 382-7410
DR. WILLIAM EDGAR CARR LCSW
Social Worker (Clinical)
2130 MILLBURN AVE, D1
MAPLEWOOD, NJ 07040
Essex County (973) 592-1512
DR. SYLVIA S LEE M D
Allergy & Immunology (Allergy)
2130 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (973) 763-5787
MICHAEL GOLDFARB,M.D. P.A.
Internal Medicine (Gastroenterology)
2130 MILLBURN AVE, SUITE C6
MAPLEWOOD, NJ 07040
Essex County (973) 762-8200

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 Segun Simon's NPI number?

The NPI number for Segun Simon is 1194956490. It was assigned to this individual provider in the NPPES registry on August 4, 2009.

Where is Segun Simon located?

Segun Simon practices at 2130 Millburn Ave Suite C-3, Maplewood, NJ 07040. The listed phone number is (973) 996-2727.

What is Segun Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Segun Simon enrolled in Medicare?

Yes. Segun 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.

What insurance does Segun Simon accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Segun Simon 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 Segun Simon affiliated with any hospitals?

According to CMS data, Segun Simon is affiliated with Newark Beth Israel Medical Center, Clara Maass Medical Center and Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Segun Simon was last updated on November 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.