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SIMON-NOEL NDELY MD
NPI 1932605433
Pediatrics - Pediatric Critical Care Medicine in Minneapolis, MN

Active since April 03, 2018PECOS Enrolled
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 365-1000 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Simon-noel Ndely Md NPPES

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

SIMON-NOEL NDELY MD (NPI 1932605433) is an individual pediatric critical care medicine provider in Minneapolis, Minnesota, licensed in Minnesota (77799) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932605433
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameSIMON-NOEL NDELYCredential: MD
Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450
Mailing Address1700 University Ave WSaint Paul, MN 55104-3727
Phone(612) 365-1000
Sole ProprietorNo
Enumeration DateApril 3, 2018
Last NPPES UpdateAugust 14, 2024
NPPES CertifiedAugust 14, 2024
✔ NPI 1932605433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in MN · 77799
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License S479125347520 (MN), 77799 (MN)
2450 RIVERSIDE AVE, Minneapolis, MN 55454
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simon-noel Ndely Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Simon-noel Ndely reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fairview Health Services
Same address
General Acute Care Hospital
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1316008212 (612) 273-7838

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

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.

MICHELLE IRENE GRAY
Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
DR. KATHLEEN F SADAK MD
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-6402
DR. ADMATHA MUTHYALA WINFRED MD
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
KELLY SCHELLER WILLIAMS
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-3216
MRS. MARY SUSAN CLIPP CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 365-3100
DANIEL TESFAYE KEBED MD
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MS. CHELSEA ANJELICA MIELKE PA-C
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MRS. JESSICA LYNN MCADAM
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-8383

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 Simon-noel Ndely's NPI number?

The NPI number for Simon-noel Ndely is 1932605433. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Simon-noel Ndely located?

Simon-noel Ndely practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 365-1000.

What is Simon-noel Ndely's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Simon-noel Ndely enrolled in Medicare?

Yes. Simon-noel Ndely is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Simon-noel Ndely's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simon-noel Ndely reassigns Medicare benefits to Fairview Health Services (Minneapolis, MN). 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 Simon-noel Ndely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Simon-noel Ndely accept?

Health plans from Sanford Health Plan list Simon-noel Ndely 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 Simon-noel Ndely was last updated on August 14, 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.