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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SIMONE NADEEN COWAN D.O.
NPI 1194987826
Internal Medicine - Cardiovascular Disease in Grosse Pointe, MI

Active since June 25, 2008PECOS EnrolledAccepts Medicare Assignment
16815 E JEFFERSON AVE STE 110, GROSSE POINTE, MI 48230(313) 640-7220 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 5, 2026, Jun 15, 2021 (2 updates tracked since 2021).

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

NPI1194987826
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SIMONE NADEEN COWANCredential: D.O.
Location Address16815 E JEFFERSON AVE STE 110Grosse Pointe, MI 48230-1923
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Phone(313) 640-7220
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 25, 2008
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1194987826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MI · 5101017934
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5101017934 (MI)
16815 E JEFFERSON AVE STE 110, Grosse Pointe, MI 48230
Open in Google Maps ↗

Secondary Practice Location 1

Location 127219 Winterset CirFarmington Hills, MI 48334-4065 · Phone (718) 812-5470 · Fax (201) 856-6700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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. 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.

PECOS PAC ID1850516360
PECOS Enrollment IDI20140625001278
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 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.

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.
306 services132 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.
90 services88 patients

Hospital Affiliations CMS Care Compare

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

Uphs Marquette Dlp Hospital

Acute Care Hospitals · Marquette, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230054
Location850 W Baraga AveMarquette, MI 49855 · Marquette County
Emergency services Birthing friendly

Physician 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.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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.

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 24 days 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.