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PRIYA KAREN SIMOES MD
NPI 1407135593
Internal Medicine - Gastroenterology in New York, NY

Active since August 08, 2011PECOS EnrolledAccepts Medicare Assignment
1000 10TH AVE, DEPARTMENT OF MEDICINE, NEW YORK, NY 10019(212) 523-7321 Get Directions Write a Review

NPPES record last updated: May 14, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Priya Karen Simoes Md NPPES

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

PRIYA KAREN SIMOES MD (NPI 1407135593) is an individual gastroenterology provider in New York, New York, licensed in New York (278643) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai St Luke's Roosevelt Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1407135593
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NamePRIYA KAREN SIMOESCredential: MD
Location Address1000 10TH AVE, DEPARTMENT OF MEDICINENew York, NY 10019-1147
Mailing Address515 W 59th St, Apartment 26lNew York, NY 10019-1047 · (917) 601-3183
Phone(212) 523-7321
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 8, 2011
Last NPPES UpdateMay 14, 2019
✔ NPI 1407135593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 278643
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1000 10TH AVE, New York, NY 10019
Open in Google Maps ↗

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

Priya Karen 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.

PECOS PAC ID8628311362
PECOS Enrollment IDI20190520002039
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
40 services34 patients
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.
31 services21 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.
19 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services11 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
12 services12 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Northern Westchester Hospital

Acute Care Hospitals · Mount Kisco, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330162
Location400 East Main StreetMount Kisco, NY 10549 · Westchester County
Emergency services Birthing friendly

Phelps Hospital

Acute Care Hospitals · Sleepy Hollow, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330261
Location701 N BroadwaySleepy Hollow, NY 10591 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10019 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

LAUREN KRISTEN BOTERO MD
Internal Medicine (Hematology)
1000 10TH AVE
NEW YORK, NY 10019
New York County (212) 523-4000
JASMINE PARIS LORD MD
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019
New York County (212) 523-6121
HOLLY D SHAN
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019
New York County (212) 523-6121
RACHNA SULTANIAN MD
Emergency Medicine
1000 10TH AVE
NEW YORK, NY 10019
New York County (212) 523-6745
ANGELA TANGREDI MD
Pediatrics
1000 10TH AVE
NEW YORK, NY 10019
New York County (212) 523-6745
ALEXANDER VOLVOVSKY MD
Radiology (Diagnostic Radiology)
1000 10TH AVE, SUITE 4B14
NEW YORK, NY 10019
New York County (212) 536-6668
MISS JINCY THANKACHEN M.D.
Internal Medicine
1000 10TH AVE, ST. LUKE'S ROOSEVELT - DEPARTMENT OF INTERNAL MEDICINE
NEW YORK, NY 10019
New York County (212) 523-7321
SAMA ANSARI M.D.
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019
New York County (212) 523-4000

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 Priya Simoes's NPI number?

The NPI number for Priya Simoes is 1407135593. It was assigned to this individual provider in the NPPES registry on August 8, 2011.

Where is Priya Simoes located?

Priya Simoes practices at 1000 10th Ave Department Of Medicine, New York, NY 10019. The listed phone number is (212) 523-7321.

What is Priya Simoes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Priya Simoes enrolled in Medicare?

Yes. Priya 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.

Is Priya Simoes affiliated with any hospitals?

According to CMS data, Priya Simoes is affiliated with Mount Sinai St Luke's Roosevelt Hospital, Northern Westchester Hospital and Phelps Hospital.

When was this NPI record last updated?

The NPPES record for Priya Simoes was last updated on May 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.