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MICHAELA NICOLE SIMONCINI M.D.
NPI 1558896803
Surgery in Burlingame, CA

Active since April 25, 2017PECOS EnrolledAccepts Medicare Assignment
1501 TROUSDALE DR, BURLINGAME, CA 94010(650) 652-8787 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 16, 2023, Apr 25, 2017 (2 updates tracked since 2017).

About Michaela Nicole Simoncini M.d. NPPES

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

MICHAELA NICOLE SIMONCINI M.D. (NPI 1558896803) is an individual surgery provider in Burlingame, California, licensed in California (A158153) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1558896803
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMICHAELA NICOLE SIMONCINICredential: M.D.
Location Address1501 TROUSDALE DRBurlingame, CA 94010-4506
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (650) 652-8787
Phone(650) 652-8787
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 25, 2017
Last NPPES UpdateOctober 22, 20242 updates tracked since enumeration
NPPES CertifiedOctober 22, 2024
✔ NPI 1558896803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in CA · A158153✔ Licensed in RI · MD19305
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1501 TROUSDALE DR, Burlingame, CA 94010
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Secondary Practice Location 1

Location 12 Dudley St Ste 370Providence, RI 02905-3248 · Phone (401) 553-8353 · Fax (401) 868-2308

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michaela Nicole Simoncini 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 ID2961876883
PECOS Enrollment IDI20240924004165
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michaela Simoncini reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of San Mateo
2.9 mi
Adolescent and Children Mental Health
300 PIEDMONT AVE
San Bruno, CA 94066
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1831268580 (California)
  • 597 clinicians in this Medicare group
NPI 1215029087 (650) 583-8958
Sutter Bay Medical Foundation
8.8 mi
Ambulatory Surgical
301 INDUSTRIAL RD
San Carlos, CA 94070
NPI 1164840088 (650) 596-4200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94010 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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. GEOFFREY WAYNE KRAMPITZ M.D., PH.D.
Surgery (Surgical Oncology)
1501 TROUSDALE DR
BURLINGAME, CA 94010
San Mateo County (650) 652-8787
EVELYN KHOO MD
Family Medicine
1501 TROUSDALE DR, 3RD FLOOR
BURLINGAME, CA 94010
San Mateo County (650) 652-8600
RICHARD C LIU D.O.
Hospitalist
1501 TROUSDALE DR
BURLINGAME, CA 94010
San Mateo County (650) 458-0032
DIRK BAUMANN M.D.
Surgery (Vascular Surgery)
1501 TROUSDALE DR, 5TH FLOOR
BURLINGAME, CA 94010
San Mateo County (650) 652-8787
DR. SAMI H BOGALE M.D.
Hospitalist
1501 TROUSDALE DR
BURLINGAME, CA 94010
San Mateo County (650) 696-5400
TAK POON MD
Internal Medicine (Cardiovascular Disease)
1501 TROUSDALE DR, 2ND FLOOR
BURLINGAME, CA 94010
San Mateo County (650) 652-8600
KARIN K. WERTZ MD
Pediatrics
1501 TROUSDALE DR
BURLINGAME, CA 94010
San Mateo County (650) 652-8720
DR. AMIR ALI SCHRICKER M.D
Internal Medicine (Clinical Cardiac Electrophysiology)
1501 TROUSDALE DR
BURLINGAME, CA 94010
San Mateo County (650) 652-8600

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 Michaela Simoncini's NPI number?

The NPI number for Michaela Simoncini is 1558896803. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Where is Michaela Simoncini located?

Michaela Simoncini practices at 1501 Trousdale Dr, Burlingame, CA 94010. The listed phone number is (650) 652-8787.

What is Michaela Simoncini's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michaela Simoncini enrolled in Medicare?

Yes. Michaela Simoncini 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.

Which organizations bill Medicare for Michaela Simoncini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michaela Simoncini reassigns Medicare benefits to 2 organizations: County Of San Mateo (San Bruno, CA) and Sutter Bay Medical Foundation (San Carlos, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michaela Simoncini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michaela Simoncini was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.