DR. SIMONE NADEEN COWAN D.O.
NPI 1194987826
Internal Medicine - Cardiovascular Disease in Grosse Pointe, MI
About Dr. Simone Nadeen Cowan D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SIMONE NADEEN COWAN D.O. (NPI 1194987826) is an individual cardiovascular disease provider in Grosse Pointe, Michigan, licensed in Michigan (5101017934) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Uphs Marquette Dlp Hospital, and maintains a secondary practice location in Farmington Hills.
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 and accepts Medicare assignment
Dr. Simone Nadeen Cowan D.o. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Simone Cowan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Clair Shores, MI 48080
- Reassigned Medicare billing, Michigan enrollment
- 26 clinicians in this Medicare group
Warren, MI 48093
- Reassigned Medicare billing, Michigan enrollment
- 57 clinicians in this Medicare group
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 1,030 clinicians in this Medicare group
Escanaba, MI 49829
- Reassigned Medicare billing, Michigan enrollment
- 440 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 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uphs Marquette Dlp Hospital
Acute Care Hospitals · Marquette, MIBeaumont Hospital - Grosse Pointe
Acute Care Hospitals · Grosse Pointe, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Simone Cowan's NPI number?
The NPI number for Simone Cowan is 1194987826. It was assigned to this individual provider in the NPPES registry on June 25, 2008.
Where is Simone Cowan located?
Simone Cowan practices at 16815 E Jefferson Ave Ste 110, Grosse Pointe, MI 48230. The listed phone number is (313) 640-7220.
What is Simone Cowan's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Simone Cowan enrolled in Medicare?
Yes. Simone Cowan 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 Simone Cowan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Simone Cowan reassigns Medicare benefits to 4 organizations: Eastlake Cardiovascular PC (St Clair Shores, MI), Henry Ford Health Macomb Oakland Hospital (Warren, MI), Beaumont Medical Group- Specialty Services (Royal Oak, MI) and Dlp Marquette Physician Practices Inc (Escanaba, MI). 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 Simone Cowan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Simone Cowan accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Simone Cowan 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 Simone Cowan affiliated with any hospitals?
According to CMS data, Simone Cowan is affiliated with Uphs Marquette Dlp Hospital and Beaumont Hospital - Grosse Pointe.
When was this NPI record last updated?
The NPPES record for Simone Cowan was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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. Simone Nadeen Cowan, D.O. · NPI 1194987826
Cardiovascular Disease physician in Grosse Pointe, Michigan. Individual provider, active in the CMS NPPES registry since June 25, 2008.
## Identity
- **NPI:** 1194987826 (Entity type: Individual)
- **Enumerated:** June 25, 2008
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 5101017934 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 16815 E JEFFERSON AVE STE 110, Grosse Pointe, MI 48230-1923
- **Phone:** (313) 640-7220
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Eastlake Cardiovascular PC (NPI 1982657474, St Clair Shores, MI); Henry Ford Health Macomb Oakland Hospital (NPI 1518124320, Warren, MI); Beaumont Medical Group- Specialty Services (NPI 1578072906, Royal Oak, MI); Dlp Marquette Physician Practices Inc (NPI 1538415021, Escanaba, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** August 5, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1194987826) · Data from the CMS NPPES public registry.