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SIMON SHANE GORES MD
NPI 1740074798
Student in an Organized Health Care Education/Training Program in Cincinnati, OH

Active since April 07, 2025PECOS Enrolled
2139 AUBURN AVE STE 2170, CINCINNATI, OH 45219(513) 585-4079 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Simon Shane Gores Md NPPES

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

SIMON SHANE GORES MD (NPI 1740074798) is an individual student in an organized health care education/training program in Cincinnati, Ohio and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740074798
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSIMON SHANE GORESCredential: MD
Location Address2139 AUBURN AVE STE 2170Cincinnati, OH 45219-2989
Mailing Address2139 Auburn Ave Ste 2170Cincinnati, OH 45219-2989 · (513) 585-4079
Phone(513) 585-4079
Sole ProprietorNo
Enumeration DateApril 7, 2025
NPPES CertifiedApril 6, 2025
✔ NPI 1740074798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2139 AUBURN AVE STE 2170, Cincinnati, OH 45219
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simon Shane Gores 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.

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.

STEVEN LA COUNT
Student in an Organized Health Care Education/Training Program
2139 AUBURN AVE STE 2170
CINCINNATI, OH 45219
Hamilton County (513) 585-4079
SRIHARSHA VOLETI
Student in an Organized Health Care Education/Training Program
2139 AUBURN AVE STE 2170
CINCINNATI, OH 45219
Hamilton County (513) 585-4079
SARAH FELDKAMP
Student in an Organized Health Care Education/Training Program
2139 AUBURN AVE STE 2170
CINCINNATI, OH 45219
Hamilton County (513) 585-3238
BEREKET HAILE
Student in an Organized Health Care Education/Training Program
2139 AUBURN AVE STE 2170
CINCINNATI, OH 45219
Hamilton County (513) 585-4079
MOHAMMAD MOIZZ AKHTAR D.O.
Student in an Organized Health Care Education/Training Program
2139 AUBURN AVE STE 2170
CINCINNATI, OH 45219
Hamilton County (513) 585-4079
ROBERT GRIGSBY DO
Student in an Organized Health Care Education/Training Program
2139 AUBURN AVE STE 2170
CINCINNATI, OH 45219
Hamilton County (513) 585-4079
MALLIKA PARVATHI SRIDHAR
Student in an Organized Health Care Education/Training Program
2139 AUBURN AVE STE 2170
CINCINNATI, OH 45219
Hamilton County (513) 585-4079
MICHAEL GROESCHEN MD
Student in an Organized Health Care Education/Training Program
2139 AUBURN AVE STE 2170
CINCINNATI, OH 45219
Hamilton County (513) 585-4079

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 Simon Gores's NPI number?

The NPI number for Simon Gores is 1740074798. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Simon Gores located?

Simon Gores practices at 2139 Auburn Ave Ste 2170, Cincinnati, OH 45219. The listed phone number is (513) 585-4079.

What is Simon Gores's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Simon Gores enrolled in Medicare?

Yes. Simon Gores is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Simon Gores was last updated on April 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.