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JOSHUA S. SIMON M.D.
NPI 1366460123
Emergency Medicine in Philadelphia, PA

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
3998 RED LION RD, PHILADELPHIA, PA 19114(215) 612-4000(215) 807-8235 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joshua S. Simon M.d. NPPES

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

JOSHUA S. SIMON M.D. (NPI 1366460123) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD417084) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Holy Redeemer Hospital And Medical Center, and is a graduate of State University Of Ny Upstate Medical University (1999).

NPPES Registry Identity

NPI1366460123
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOSHUA S. SIMONCredential: M.D.
Location Address3998 RED LION RDPhiladelphia, PA 19114-1436
Mailing AddressPo Box 8500-6335Philadelphia, PA 19178-0001 · (215) 807-8000 · Fax (215) 807-8235
Phone(215) 612-4000
Fax(215) 807-8235
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1999
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 12, 2007
✔ NPI 1366460123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MD417084
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3998 RED LION RD, Philadelphia, PA 19114
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Other Identifiers 16

Other01906447-03PA · Americhoice Torresdale
Other20045166PA · Amerihealth Mercy
Other01906447-02PA · Americhoice Frankford
Other1164089PA · Keystone Mercy
Other2085833000PA · Keystone Ibc
Medicaid0019064470003PA
Medicare PIN059525JL1PA
Medicaid0019064470001PA
Other1396967PA · Highmark Blue Shield
Other452729PA · Aetna Contract
Other01906447-01PA · Americhoice Bucks
Medicare UPINH65823PA
Other1050681PA · Cigna
Other1396967PA · Personal Choice
Other07645PA · Health Partners
Medicaid0019064470002PA

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

Joshua S. Simon M.d. 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 ID4981896065
PECOS Enrollment IDI20101007000624
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
176 services173 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
160 services155 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
66 services66 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
55 services55 patients

Hospital Affiliations CMS Care Compare

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

Holy Redeemer Hospital And Medical Center

Acute Care Hospitals · Meadowbrook, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number390097
Location1648 Huntingdon PikeMeadowbrook, PA 19046 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19114 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

AARON OPHER SHILOH M.D.
Radiology (Vascular & Interventional Radiology)
3998 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (952) 595-1100
DEBORAH SCHILLER SCHRAGER MD
Obstetrics & Gynecology
3998 RED LION RD, SUITE 106
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4143
MELISSA A. MALLOY CRNA
Nurse Anesthetist, Certified Registered
3998 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4088
DR. MIMI H PINTO DO
Radiology (Diagnostic Radiology)
3998 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4021
JOHN P. SORRENTINO M.D.
Emergency Medicine
3998 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4963
JUDITH KUNKLE CRNP
Registered Nurse (Emergency)
3998 RED LION RD, EMERGENCY ROOM
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
JOAQUIN SARIEGO MD
Surgery
3998 RED LION RD, SUITE 301
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4884
FRANKFORD TORRESDALE HOSPITAL
General Acute Care Hospital
3998 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000

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 Joshua Simon's NPI number?

The NPI number for Joshua Simon is 1366460123. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Joshua Simon located?

Joshua Simon practices at 3998 Red Lion Rd, Philadelphia, PA 19114. The listed phone number is (215) 612-4000.

What is Joshua Simon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Joshua Simon enrolled in Medicare?

Yes. Joshua Simon 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.

Is Joshua Simon affiliated with any hospitals?

According to CMS data, Joshua Simon is affiliated with Holy Redeemer Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Joshua Simon was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.