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KAREN J SIMMONS MD
NPI 1356365639
Obstetrics & Gynecology - Gynecology in Miami, FL

Active since July 27, 2006PECOS Enrolled
1611 NW 12TH AVE, M851, MIAMI, FL 33101(305) 243-4029(305) 243-8470 Get Directions Write a Review

NPPES record last updated: February 1, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Karen J Simmons Md NPPES

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

KAREN J SIMMONS MD (NPI 1356365639) is an individual gynecology provider in Miami, Florida, licensed in Florida (ME63739) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356365639
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameKAREN J SIMMONSCredential: MD
Location Address1611 NW 12TH AVE, M851Miami, FL 33101-6960
Mailing Address1611 Nw 12th Ave, Box 016960 M851Miami, FL 33101-6960 · (305) 243-4029 · Fax (305) 243-8470
Phone(305) 243-4029
Fax(305) 243-8470
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateFebruary 1, 2013
✔ NPI 1356365639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in FL · ME63739
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1611 NW 12TH AVE, Miami, FL 33101
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Other Identifiers 3

Medicare UPINF54803FL
Medicaid3725642-00FL
Medicare UPIN18707FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen J Simmons Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33101 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

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.

DR. ANA ELISA CAMPO MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1611 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 355-9105
DR. CARLA S LUPI MD
Obstetrics & Gynecology (Gynecology)
1611 NW 12TH AVE
MIAMI, FL 33101
Miami-Dade County (305) 243-4029
DR. SALIH Y YASIN MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1611 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 243-4029
DR. STEVEN SEVUSH MD
Psychiatry & Neurology (Psychiatry)
1611 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 355-9105
DR. HILDA M PANTIN PHD
Psychologist (Clinical)
1611 NW 12TH AVE, M851
MIAMI, FL 33101
Miami-Dade County (305) 355-9105
DR. JANET KONEFAL PHD
Acupuncturist
1611 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 355-9105
DR. NAHIDA A CHAKHTOURA MD
Obstetrics & Gynecology
1611 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 243-7688
ARTHUR E BETANCOURT PSYD
Psychologist
1611 NW 12TH AVE
MIAMI, FL 33101
Miami-Dade County (305) 243-6837

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 Karen Simmons's NPI number?

The NPI number for Karen Simmons is 1356365639. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Karen Simmons located?

Karen Simmons practices at 1611 NW 12th Ave M851, Miami, FL 33101. The listed phone number is (305) 243-4029.

What is Karen Simmons's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Karen Simmons enrolled in Medicare?

Yes. Karen Simmons is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Karen Simmons was last updated on February 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.