SIMON IKECHUKWU IROHA
NPI 1194973503
Internal Medicine in Wexford, PA

Active since August 28, 2008PECOS EnrolledAccepts Medicare Assignment
12351 PERRY HWY, WEXFORD, PA 15090(412) 359-3030 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2026, Aug 5, 2025, Mar 19, 2025 and 7 more (10 updates tracked since 2016).

About Simon Ikechukwu Iroha NPPES

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

SIMON IKECHUKWU IROHA (NPI 1194973503) is an individual internal medicine provider in Wexford, Pennsylvania, licensed in Pennsylvania (MD452966) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Seaford, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1194973503
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSIMON IKECHUKWU IROHA
Location Address12351 PERRY HWYWexford, PA 15090-8344
Mailing Address12351 Perry HwyWexford, PA 15090-8344 · (412) 359-3030
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 28, 2008
Last NPPES UpdateJuly 8, 202610 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1194973503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · MD452966✔ Licensed in DE · C1-0010718
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License MD452966 (PA)
12351 PERRY HWY, Wexford, PA 15090

Secondary Practice Location 1

Location 11100 Norman Eskridge HwySeaford, DE 19973-1724 · Phone (609) 585-1122

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Simon Ikechukwu Iroha 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 ID2567636038
PECOS Enrollment IDI20140130001448, I20151124002128
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.

Medicare Billing Reassignments

20

Medicare enrollment records show Simon Iroha reassigns Medicare billing to 20 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
12311 PERRY HWY
Wexford, PA 15090
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 clinicians in this Medicare group
Urgent Care
ARCADIA CTR, 9401 MCKNIGHT ROAD, SUITE 107
Pittsburgh, PA 15237
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
Internal Medicine
225 S CENTER AVE
Somerset, PA 15501
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Hospitalist Medicine Physicians Of Pennsylvania PC
  • 274 clinicians in this Medicare group
General Acute Care Hospital
620 HOWARD AVE.
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 291 clinicians in this Medicare group
Hospitalist
11116 MEDICAL CAMPUS RD
Hagerstown, MD 21742
  • Reassigned Medicare billing, Maryland enrollment
  • 91 clinicians in this Medicare group
Internal Medicine
347 BALLENGER CENTER DR
Frederick, MD 21703
  • Reassigned Medicare billing, Maryland and Delaware enrollments
  • Also billed through NPI 1417655465 (Delaware)
  • 8 clinicians in this Medicare group
Family Medicine
530 CENTRE ST
Ashland, PA 17921
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
Geriatric Medicine
9200 FRANKLIN SQUARE DR
Baltimore, MD 21237
  • Reassigned Medicare billing, Delaware enrollment
  • 4 clinicians in this Medicare group
Hospitalist
575 N RIVER ST
Wilkes Barre, PA 18764
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 76 clinicians in this Medicare group
Hospitalist
200 HYGEIA DR, SUITE 2100
Newark, DE 19713
  • Reassigned Medicare billing, Delaware enrollment
  • 460 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.

Areas of Expertise CMS Part B claims 10

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.
180 services93 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
163 services24 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.
104 services40 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.
70 services67 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
54 services29 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.
30 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15090 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers68 claims69 services$16.86 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers77 claims78 services$89.11 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers32 claims32 services$17.54 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$7.43 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.

Hospitalist
12351 PERRY HWY
WEXFORD, PA 15090
Hospitalist
12351 PERRY HWY
WEXFORD, PA 15090
Nurse Anesthetist, Certified Registered
12351 PERRY HWY
WEXFORD, PA 15090
Hospitalist
12351 PERRY HWY
WEXFORD, PA 15090
Hospitalist
12351 PERRY HWY
WEXFORD, PA 15090
Nurse Anesthetist, Certified Registered
12351 PERRY HWY
WEXFORD, PA 15090
Internal Medicine
12351 PERRY HWY
WEXFORD, PA 15090
Internal Medicine
12351 PERRY HWY
WEXFORD, PA 15090

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 Iroha's NPI number?

The NPI number for Simon Iroha is 1194973503. It was assigned to this individual provider in the NPPES registry on August 28, 2008.

Where is Simon Iroha located?

Simon Iroha practices at 12351 Perry Hwy, Wexford, PA 15090. The listed phone number is (412) 359-3030.

What is Simon Iroha's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Simon Iroha enrolled in Medicare?

Yes. Simon Iroha 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.

Which organizations bill Medicare for Simon Iroha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simon Iroha reassigns Medicare benefits to 20 organizations: Allegheny Clinic (Wexford, PA), University Of Pittsburgh Physicians (Pittsburgh, PA), Hospitalist Medicine Physicians Of Pennsylvania, P.C. (Somerset, PA), Upmc Altoona (Altoona, PA), Mdics At Meritus Medical Center, LLC (Hagerstown, MD) and 15 more organizations, listed in the Medicare section above. 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 Iroha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Simon Iroha accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Simon Iroha 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 Iroha was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.