MR. SIMON KOLCAJ PA
NPI 1780174813
Physician Assistant in Rochester, MI

Q: What is Simon Kolcaj's NPI number?

The NPI number for Simon Kolcaj is 1780174813. It was assigned to this individual provider in the NPPES registry on May 15, 2018.

Q: What is Simon Kolcaj's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Simon Kolcaj was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 15, 2018PECOS EnrolledAccepts Medicare Assignment

1101 W UNIVERSITY DR, ROCHESTER, MI 48307(248) 652-5000(248) 601-7313 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2020, Oct 17, 2019, Jul 25, 2019 and 1 more (4 updates tracked since 2018).

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About Mr. Simon Kolcaj Pa NPPES

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

MR. SIMON KOLCAJ PA (NPI 1780174813) is an individual physician assistant in Rochester, Michigan, licensed in Michigan (5601008648) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Ascension Macomb Oakland Hosp-warren Campus, and maintains a secondary practice location in Warren.

NPPES Registry Identity

NPI1780174813

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. SIMON KOLCAJCredential: PA

Location Address1101 W UNIVERSITY DRRochester, MI 48307-1863

Mailing Address2600 Oxford DrTroy, MI 48084-1075 · (586) 214-6270

Phone(248) 652-5000

Fax(248) 601-7313

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 15, 2018

Last NPPES UpdateJune 24, 20204 updates tracked since enumeration

NPPES CertifiedJune 24, 2020

✔ NPI 1780174813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601008648

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1101 W UNIVERSITY DR, Rochester, MI 48307

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Secondary Practice Location 1

Location 111800 E 12 Mile RdWarren, MI 48093 · Phone (586) 573-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Mr. Simon Kolcaj Pa 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 ID9032522891

PECOS Enrollment IDI20210115001303

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.

Hospital Affiliations CMS Care Compare

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

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230195

Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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. EMECHETA SAMUEL AJAERO MD

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