KAVITHA SIMPSON M.D. NPI 1851554463
Family Medicine in Ventura, CA

Individual Female Years of Experience 15 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment

About KAVITHA SIMPSON M.D.

Kavitha Simpson is a primary care provider established in Ventura, California and her medical specialization is Family Medicine with more than 15 years of experience. She graduated from College Of Osteo Med Of The Pacific At Pomona in 2008. The NPI number of Kavitha Simpson is 1851554463 and was assigned on July 2008. The practitioner's primary taxonomy code is 207Q00000X with license number 20A11302 (CA). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1851554463
Provider Name KAVITHA SIMPSON M.D.
Provider Location Address3291 LOMA VISTA RD VENTURA, CA 93003
Provider Mailing Address3291 LOMA VISTA RD VENTURA, CA 93003
GenderFemale
NPI Entity TypeIndividual
Medical School NameCOLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduation Year2008
Is Sole Proprietor?No
Enumeration Date07-03-2008
Last Update Date09-27-2016

A primary care provider (PCP) like Kavitha Simpson M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Kavitha Simpson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Kavitha Simpson is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $24.65 for a new patient copayment and $28.45 for an established patient copayment.



Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.20A11302
License StateCA
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

KAVITHA SIMPSON M.D.
3291 LOMA VISTA RD
VENTURA, CA
ZIP 93003
Phone: (805) 652-6228

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Mailing Address

KAVITHA SIMPSON M.D.
3291 LOMA VISTA RD
VENTURA, CA
ZIP 93003
Phone: (805) 652-6228


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7012188378
PECOS Enrollment IDI20110916000057
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 93003 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$64.68 $192.84 $98.6
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$16.17 $48.21 $24.65
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$20.83 $158.24 $113.83
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.2 $39.56 $28.45

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramNo

Taxonomy Description: 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.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1851554463
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281011058412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 0 + 1 + 1 + 0 + 5 + 8 + 4 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1851554463 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154329209 FRANCISCO ABREU BRACHO M.D.
Individual
Pediatrics (Pediatric Hematology-Oncology)3291 LOMA VISTA RD SUITE 301 BLDG 340
VENTURA, CA 93003
(805) 652-6120
1164413886DR. TED M MANDRYK MEDICAL DOCTOR
Individual
Emergency Medicine3291 LOMA VISTA RD
VENTURA, CA 93003
(805) 652-6165
1043255797DR. STEPHANUS R PHILIP MD
Individual
Hospitalist3291 LOMA VISTA RD
VENTURA, CA 93003
(805) 652-6075
1114955994DR. DAVID ARAUJO M.D.
Individual
Family Medicine3291 LOMA VISTA RD
VENTURA, CA 93003
(805) 652-6100
1760496939 JASON ROWLEY M.D.
Individual
Family Medicine3291 LOMA VISTA RD
VENTURA, CA 93003
(805) 652-6062
1184782229 VLADIMIR LEVINE M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)3291 LOMA VISTA RD
VENTURA, CA 93003
(805) 652-6084
1245398379DR. SIAMAK SAFAR M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)3291 LOMA VISTA RD
VENTURA, CA 93003
(805) 652-6084
1558420398DR. REED M. HORWITZ M.D.
Individual
Radiology (Diagnostic Radiology)3291 LOMA VISTA RD DEPARTMENT OF RADIOLOGY VCMC
VENTURA, CA 93003
(805) 652-6080
1174683502 THOMAS J DUNLOP M.D.
Individual
Family Medicine3291 LOMA VISTA RD
VENTURA, CA 93003
(805) 652-6100
1730240912 BRYAN CHUNG-YUN WONG M.D.
Individual
Family Medicine3291 LOMA VISTA RD
VENTURA, CA 93003
(805) 652-6075
1003979618DR. BRAD S ADLER M.D.
Individual
Pathology (Anatomic Pathology)3291 LOMA VISTA RD
VENTURA, CA 93003
(805) 652-6000
1841353893DR. THERESA CHO M.D.
Individual
Family Medicine3291 LOMA VISTA RD
VENTURA, CA 93003
(805) 652-6556
1467516260DR. HUBERT CHEN M.D.
Individual
Family Medicine3291 LOMA VISTA RD
VENTURA, CA 93003
(805) 652-6556
1386707313DR. JOAO PAULO CARVALHO M.D.
Individual
Family Medicine3291 LOMA VISTA RD
VENTURA, CA 93003
(805) 652-6556
1336202365DR. MATTHEW CARR M.D.
Individual
Radiology (Diagnostic Radiology)3291 LOMA VISTA RD
VENTURA, CA 93003
(805) 652-6556
1114080082DR. DANIEL CLARK M.D.
Individual
Internal Medicine3291 LOMA VISTA RD
VENTURA, CA 93003
(805) 652-6556
1174812929DR. ROCIO A MOUSTAFA M.D.
Individual
Psychiatry & Neurology (Psychiatry)3291 LOMA VISTA RD
VENTURA, CA 93003
(805) 652-6556
1437212453DR. KURT BLICKENSTAFF M.D.
Individual
Surgery3291 LOMA VISTA RD
VENTURA, CA 93003
(805) 641-4431
1083777023DR. MIGUEL CERVANTES M.D.
Individual
Family Medicine3291 LOMA VISTA RD
VENTURA, CA 93003
(805) 652-6556
1942363882DR. JOHN FANKHAUSER M.D.
Individual
Family Medicine3291 LOMA VISTA RD
VENTURA, CA 93003
(805) 652-6556

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Kavitha Simpson M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.