DR. ARMEN JOHN SIMONIAN M.D.
NPI 1972566263
Internal Medicine - Gastroenterology in Pennington, NJ

Q: What is Armen Simonian's NPI number?

The NPI number for Armen Simonian is 1972566263. It was assigned to this individual provider in the NPPES registry on April 9, 2006.

Q: What is Armen Simonian's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Armen Simonian was last updated on October 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 April 09, 2006PECOS EnrolledAccepts Medicare Assignment

95.77/100

CMS Quality Rating

TWO CAPITAL WAY, SUITE 487, PENNINGTON, NJ 08534(609) 818-1900(609) 818-1908 Get Directions Write a Review

NPPES record last updated: October 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Armen John Simonian M.d. NPPES

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

DR. ARMEN JOHN SIMONIAN M.D. (NPI 1972566263) is an individual gastroenterology provider in Pennington, New Jersey, licensed in New Jersey (MA060739) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1972566263

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. ARMEN JOHN SIMONIANCredential: M.D.

Location AddressTWO CAPITAL WAY, SUITE 487Pennington, NJ 08534-2520

Mailing Address3 Jefferson PlPennington, NJ 08534-4220 · (609) 737-4396 · Fax (609) 695-5141

Phone(609) 818-1900

Fax(609) 818-1908

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateApril 9, 2006

Last NPPES UpdateOctober 9, 2012

✔ NPI 1972566263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NJ · MA060739

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

TWO CAPITAL WAY, Pennington, NJ 08534

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Other Identifiers 6

Medicaid7208804NJ

Medicare PIN848746PY5NJ

Other0892306000NJ · Amerihealth

Other2549843NJ · Aetna

Medicare UPING24000NJ

Medicare PIN100015221NJ

Accepted Insurance

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

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

Dr. Armen John Simonian M.d. 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 ID3274698600

PECOS Enrollment IDI20110407000756

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.

Areas of Expertise CMS Part B claims 13

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

119 services99 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

89 services45 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

85 services84 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.

67 services58 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

51 services50 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

44 services43 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

40 services40 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

31 services31 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

28 services28 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

24 services19 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

21 services20 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

14 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310044

LocationOne Capital WayPennington, NJ 08534 · Mercer County

Emergency services Birthing friendly

Capital Health Regional Medical Center

Acute Care Hospitals · Trenton, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310092

Location750 Brunswick AveTrenton, NJ 08638 · Mercer County

Emergency services

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08534 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

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

95.77/100

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

Scored through an Alternative Payment Model

Quality

76.75

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 6

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

HOPEWELL SURGERY CENTER LIMITED LIABILITY COMPANY

Clinic/Center (Ambulatory Surgical)

TWO CAPITAL WAY, SUITE 250
PENNINGTON, NJ 08534

Mercer County (609) 537-6300

DR. NENITA PARRILLA MCINTOSH MD

Internal Medicine (Hematology & Oncology)

TWO CAPITAL WAY, SUITE 220
PENNINGTON, NJ 08534

Mercer County (609) 303-0747

DR. SATVINDER K DHILLON MD

Internal Medicine

TWO CAPITAL WAY, SUITE 315
PENNINGTON, NJ 08534

Mercer County (609) 730-0010

CYNTHIA MATOSSIAN, M.D., P.A.

Ophthalmology

TWO CAPITAL WAY, SUITE 326
PENNINGTON, NJ 08534

Mercer County (609) 882-8833

DR. MICHAEL KALINA DO

Surgery (Surgical Critical Care)

TWO CAPITAL WAY, SUITE 356
PENNINGTON, NJ 08534

Mercer County (609) 537-6000

DR. JYOTI KAMLESH BHATIA M.D.

Internal Medicine (Gastroenterology)

TWO CAPITAL WAY, SUITE 487
PENNINGTON, NJ 08534

Mercer County (609) 818-1900

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 Armen Simonian's NPI number?

The NPI number for Armen Simonian is 1972566263. It was assigned to this individual provider in the NPPES registry on April 9, 2006.

Where is Armen Simonian located?

Armen Simonian practices at Two Capital Way Suite 487, Pennington, NJ 08534. The listed phone number is (609) 818-1900.

What is Armen Simonian's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Armen Simonian enrolled in Medicare?

Yes. Armen Simonian 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.

What insurance does Armen Simonian accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Armen Simonian 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.

Is Armen Simonian affiliated with any hospitals?

According to CMS data, Armen Simonian is affiliated with Capital Health Medical Center - Hopewell, Capital Health Regional Medical Center and Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Armen Simonian was last updated on October 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.