SAJI SIMON
NPI 1932346178
Podiatrist - Primary Podiatric Medicine in Downingtown, PA

Q: What is Saji Simon's NPI number?

The NPI number for Saji Simon is 1932346178. It was assigned to this individual provider in the NPPES registry on January 9, 2009.

Q: What is Saji Simon's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Q: When was this NPI record last updated?

The NPPES record for Saji Simon was last updated on April 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 January 09, 2009PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

971 EAST LANCASTER AVENUE, SAJI ENTERPRISES P.C. WELLNESS OFFICE, DOWNINGTOWN, PA 19335(215) 990-9015(888) 477-8110 Get Directions Write a Review

NPPES record last updated: April 26, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Saji Simon NPPES

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

SAJI SIMON (NPI 1932346178) is an individual primary podiatric medicine provider in Downingtown, Pennsylvania, licensed in Pennsylvania (SC005516) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2001).

NPPES Registry Identity

NPI1932346178

Entity TypeIndividualMale

Primary Taxonomy213EP1101X

Provider Legal NameSAJI SIMON

Location Address971 EAST LANCASTER AVENUE, SAJI ENTERPRISES P.C. WELLNESS OFFICEDowningtown, PA 19335

Mailing AddressPo Box 60310King Of Prussia, PA 19406-0310 · (323) 819-1934

Phone(215) 990-9015

Fax(888) 477-8110

Sole ProprietorYes

Medical School CMSTemple University School Of MedicineGraduated 2001

Enumeration DateJanuary 9, 2009

Last NPPES UpdateApril 26, 2017

✔ NPI 1932346178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers

Taxonomy Code213EP1101X

License✔ Licensed in PA · SC005516

971 EAST LANCASTER AVENUE, Downingtown, PA 19335

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Saji Simon 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 ID547326381

PECOS Enrollment IDI20090304000120

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 Reassignment

Medicare enrollment records show Saji Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saji Enterprises, P.C.

Same address

Podiatrist

971 E. LANCASTER AVE
Downingtown, PA 19335

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: Saji Enterprises PC
3 clinicians in this Medicare group

NPI 1154765683 (215) 990-9015

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 22

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.

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

707 services346 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

612 services297 patients

Trimming of fingernails or toenails 11719

Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.

416 services231 patients

Removal of fingernails or toenails, 1-5 nails 11720

276 services159 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

238 services166 patients

Removal of fingernails or toenails, 6 or more nails 11721

224 services132 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

218 services115 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

207 services177 patients

Trimming of fingernails or toenails 11719

148 services87 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

137 services90 patients

Trimming of dystrophic nails, any number G0127

Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.

124 services50 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

94 services82 patients

Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342

A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.

85 services85 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

81 services67 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

60 services41 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

58 services50 patients

Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99341

A new patient home visit is a brief, 20-minute appointment where a healthcare professional comes to your home. This visit is to understand your health needs, answer your queries, and plan your care. It's a convenient way to start your healthcare journey.

54 services54 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

41 services37 patients

Removal of noncancer thickened skin growth, 1 growth 11055

37 services32 patients

Trimming of dystrophic nails, any number G0127

28 services16 patients

Removal of noncancer thickened skin growth, more than 4 growths 11057

This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.

26 services16 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

16 services15 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

92%474 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

1%1,028 patients1/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

93%497 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

14%1,173 patients1/55-star benchmark: 100%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

63%720 patients3/55-star benchmark: 88%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients tobacco: 56% · 878 patients

56%878 patients

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

2%1,173 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Saji Simon's NPI number?

The NPI number for Saji Simon is 1932346178. It was assigned to this individual provider in the NPPES registry on January 9, 2009.

Where is Saji Simon located?

Saji Simon practices at 971 East Lancaster Avenue Saji Enterprises P.C. Wellness Office, Downingtown, PA 19335. The listed phone number is (215) 990-9015.

What is Saji Simon's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Saji Simon enrolled in Medicare?

Yes. Saji Simon 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.

Which organization bills Medicare for Saji Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Saji Simon reassigns Medicare benefits to Saji Enterprises, P.C. (Downingtown, PA). The 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 Saji Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Saji Simon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Saji Simon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Saji Simon was last updated on April 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.