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MPEPERA SIMANGO-YIADOM
NPI 1902460942
Podiatrist in Stony Brook, NY

Active since April 25, 2019PECOS EnrolledAccepts Medicare Assignment
101 NICOLLS RD DEPT OF, STONY BROOK, NY 11794(631) 444-2037 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2022, Aug 8, 2022, Apr 25, 2019 (3 updates tracked since 2019).

About Mpepera Simango-yiadom NPPES

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

MPEPERA SIMANGO-YIADOM (NPI 1902460942) is an individual podiatrist in Stony Brook, New York, licensed in Maryland (01730) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Podiatric Medicine (2019).

NPPES Registry Identity

NPI1902460942
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameMPEPERA SIMANGO-YIADOM
Location Address101 NICOLLS RD DEPT OFStony Brook, NY 11794-0001
Mailing Address1304 Cedarcroft RdBaltimore, MD 21239-2001
Phone(631) 444-2037
Sole ProprietorNo
Medical School CMSTemple University School Of Podiatric MedicineGraduated 2019
Enumeration DateApril 25, 2019
Last NPPES UpdateMay 21, 20243 updates tracked since enumeration
NPPES CertifiedMay 21, 2024
✔ NPI 1902460942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in MD · 01730
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
101 NICOLLS RD DEPT OF, Stony Brook, NY 11794
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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 and accepts Medicare assignment

Mpepera Simango-yiadom 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 ID3971988908
PECOS Enrollment IDI20220912003118
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 8

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

PRIYAL SAKHUJA DO
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD DEPT OF
STONY BROOK, NY 11794
Suffolk County (631) 444-7411
MRS. KRISTIN FERRARA RN, NNP-BC
Nurse Practitioner (Neonatal)
101 NICOLLS RD DEPT OF
STONY BROOK, NY 11794
Suffolk County (631) 444-2710
YEON JUNG YOO MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD DEPT OF
STONY BROOK, NY 11794
Suffolk County (503) 298-9344
ROSHAN T. VARUGHESE PA-C
Physician Assistant (Medical)
101 NICOLLS RD DEPT OF
STONY BROOK, NY 11794
Suffolk County (516) 708-6661
EDMUND WING-LAM LEE
Surgery
101 NICOLLS RD DEPT OF
STONY BROOK, NY 11794
Suffolk County (631) 689-8333
ADAM JOSEPH KOVACOVICH MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD DEPT OF
STONY BROOK, NY 11794
Suffolk County (631) 444-3880
YOKE-MUN SUNG MD
Internal Medicine
101 NICOLLS RD DEPT OF
STONY BROOK, NY 11794
Suffolk County (631) 444-8044
DR. MELISSA BETH WEISS M.D.
Psychiatry & Neurology (Psychiatry)
101 NICOLLS RD DEPT OF
STONY BROOK, NY 11794
Suffolk County (631) 632-9510

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 Mpepera Simango-yiadom's NPI number?

The NPI number for Mpepera Simango-yiadom is 1902460942. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Where is Mpepera Simango-yiadom located?

Mpepera Simango-yiadom practices at 101 Nicolls Rd Dept Of, Stony Brook, NY 11794. The listed phone number is (631) 444-2037.

What is Mpepera Simango-yiadom's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Mpepera Simango-yiadom enrolled in Medicare?

Yes. Mpepera Simango-yiadom 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.

When was this NPI record last updated?

The NPPES record for Mpepera Simango-yiadom was last updated on May 21, 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.