Arthur Kalathara Simon, MD - Medicare Family Medicine in Kew Gardens, NY

Arthur Kalathara Simon, MD is a medicare enrolled "Family Medicine" physician in Kew Gardens, New York. His current practice location is 8002 Kew Gardens Rd Ste 403, Kew Gardens, New York. You can reach out to his office (for appointments etc.) via phone at (929) 485-0350.

Arthur Kalathara Simon is licensed to practice in New York (license number 323625) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396373254.

Contact Information

Arthur Kalathara Simon, MD
8002 Kew Gardens Rd Ste 403,
Kew Gardens, NY 11415-3604
(929) 485-0350
Not Available

Map and Direction




Physician's Profile

Full NameArthur Kalathara Simon
GenderMale
SpecialityFamily Medicine
Location8002 Kew Gardens Rd Ste 403, Kew Gardens, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396373254
  • Provider Enumeration Date: 03/27/2020
  • Last Update Date: 06/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0244656403
  • Enrollment ID: I20230927001416

Medical Identifiers

Medical identifiers for Arthur Kalathara Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396373254NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 323625 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Arthur Kalathara Simon allows following entities to bill medicare on his behalf.
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262
Entity NameNorth Shore Lij Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679970891
PECOS PAC ID: 6002131778
Enrollment ID: O20150223000060

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Arthur Kalathara Simon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Arthur Kalathara Simon, MD
70 West St Apt C14,
Harrison, NY 10528-4025

Ph: () -
Arthur Kalathara Simon, MD
8002 Kew Gardens Rd Ste 403,
Kew Gardens, NY 11415-3604

Ph: (929) 485-0350

Reviews and Comments


Family Medicine Doctors in Kew Gardens, NY

Dr. Peter Francis Harvey, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 11940 Metropolitan Ave, Ste E1, Kew Gardens, NY 11415
Phone: 718-849-0624    Fax: 718-849-4935
Inna Kigel, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11909 Metropolitan Ave, Kew Gardens, NY 11415
Phone: 718-850-1414    Fax: 717-850-5025
Princess Mingle, NP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 8002 Kew Gardens Rd, Kew Gardens, NY 11415
Phone: 888-321-3627    
Dr. Alan Robert Roth, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 119-40 Metropolitan Avenue, Suite E-1, Kew Gardens, NY 11415
Phone: 718-849-0624    Fax: 718-849-4935
Shazia Andleeb Sami, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8550 118th St, Kew Gardens, NY 11415
Phone: 718-441-4363    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.