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MR. CLAUDE D SIMON MD PHD
NPI 1811982424
Internal Medicine - Cardiovascular Disease in New York, NY

Active since September 20, 2005PECOS Enrolled
123 LAFAYETTE ST 5TH FL, NEW YORK, NY 10013(917) 881-9182(212) 504-8041 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 4, 2022, Aug 18, 2021, Nov 19, 2019 (3 updates tracked since 2019).

About Mr. Claude D Simon Md Phd NPPES

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

MR. CLAUDE D SIMON MD PHD (NPI 1811982424) is an individual cardiovascular disease provider in New York, New York, licensed in New York (183220) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai St Luke's Roosevelt Hospital, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1811982424
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMR. CLAUDE D SIMONCredential: MD PHD
Location Address123 LAFAYETTE ST 5TH FLNew York, NY 10013-3100
Mailing Address525 N BroadwayUpper Nyack, NY 10960-1215 · (631) 979-4400 · Fax (631) 979-4475
Phone(917) 881-9182
Fax(212) 504-8041
Sole ProprietorYes
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1988
Enumeration DateSeptember 20, 2005
Last NPPES UpdateMay 4, 20223 updates tracked since enumeration
NPPES CertifiedApril 20, 2022
✔ NPI 1811982424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 183220
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
123 LAFAYETTE ST 5TH FL, New York, NY 10013
Open in Google Maps ↗

Secondary Practice Location 1

Location 11111 Amsterdam Ave, Division of Cardiology St Lukes Roosevelt Hospital CtrNew York, NY 10025-1716 · Phone (212) 866-5461 · Fax (212) 866-7706

Other Identifiers 6

Medicaid01217078NY
Other183220NY · Hip
Other010183220NYNY · Anthem Health
Other2100618NY · Ghi
Other2469671NY · Oxford
Other01246967002NY · First Health

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Claude D Simon Md Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628026820
PECOS Enrollment IDI20050104000979
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

4

Medicare enrollment records show Claude Simon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Soho Cardiovascular, P.C
Same address
Cardiovascular Disease
123 LAFAYETTE ST 5TH FL
New York, NY 10013
  • Reassigned Medicare billing, New York enrollment
NPI 1538834346 (917) 881-9182
Harlem Medical Associates PC
7.3 mi
General Practice
506 MALCOLM X BLVD (LENOX AVE)
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
NPI 1487957692 (631) 675-9300
Physicare Multi Services Ltd
7.6 mi
Family Medicine
3508 FLATLANDS AVE
Brooklyn, NY 11234
  • Reassigned Medicare billing, New York enrollment
  • 22 clinicians in this Medicare group
NPI 1619984770 (718) 253-3900
Doctor's Medical P.C
9.1 mi
Legal Medicine
2968 AVENUE X
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Doctor's Medical PC
  • 23 clinicians in this Medicare group
NPI 1760670152 (718) 769-4988

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

Areas of Expertise CMS Part B claims 10

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.

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978
This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.
80 services52 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.
53 services21 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
41 services36 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
38 services31 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
25 services24 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Harlem Hospital Center

Acute Care Hospitals · New York, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330240
Location506 Lenox AvenueNew York, NY 10037 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10013 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
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOHO CARDIOVASCULAR, P.C
Internal Medicine (Cardiovascular Disease)
123 LAFAYETTE ST 5TH FL
NEW YORK, NY 10013
New York County (917) 881-9182

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 Claude Simon's NPI number?

The NPI number for Claude Simon is 1811982424. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Claude Simon located?

Claude Simon practices at 123 Lafayette St 5th Fl, New York, NY 10013. The listed phone number is (917) 881-9182.

What is Claude Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Claude Simon enrolled in Medicare?

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

Which organizations bill Medicare for Claude Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claude Simon reassigns Medicare benefits to 4 organizations: Soho Cardiovascular, P.C (New York, NY), Harlem Medical Associates PC (New York, NY), Physicare Multi Services Ltd (Brooklyn, NY) and Doctor's Medical P.C (Brooklyn, NY). 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 Claude Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Claude Simon affiliated with any hospitals?

According to CMS data, Claude Simon is affiliated with Mount Sinai St Luke's Roosevelt Hospital and Harlem Hospital Center.

When was this NPI record last updated?

The NPPES record for Claude Simon was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.