DR. SONIA C SIMOES MD
NPI 1346406600
Internal Medicine - Nephrology in Newark, NJ
About Dr. Sonia C Simoes Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SONIA C SIMOES MD (NPI 1346406600) is an individual nephrology provider in Newark, New Jersey, licensed in New Jersey (25MA08341200) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Hackensack Meridian Health, Mountainside Medical, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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. Sonia C Simoes 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.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hackensack Meridian Health, Mountainside Medical
Acute Care Hospitals · Montclair, NJJersey City Medical Center
Acute Care Hospitals · Jersey City, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, NJ 07105
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 Sonia Simoes's NPI number?
The NPI number for Sonia Simoes is 1346406600. It was assigned to this individual provider in the NPPES registry on August 5, 2008.
Where is Sonia Simoes located?
Sonia Simoes practices at 390 New York Ave, Newark, NJ 07105. The listed phone number is (973) 755-1585.
What is Sonia Simoes's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Sonia Simoes enrolled in Medicare?
Yes. Sonia Simoes 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 Sonia Simoes accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Sonia Simoes 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 Sonia Simoes affiliated with any hospitals?
According to CMS data, Sonia Simoes is affiliated with Hackensack Meridian Health, Mountainside Medical and Jersey City Medical Center.
When was this NPI record last updated?
The NPPES record for Sonia Simoes was last updated on April 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
