Physician Compare National (NPI:1346358744)

HEALTHCARE PROVIDER: PHILIP SIMKOVITZ MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1346358744
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9537108345
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050502000444
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SIMKOVITZ
	Individual professional last name
Provider First Name	PHILIP
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	BOSTON UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CRITICAL CARE (INTENSIVISTS)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CRITICAL CARE (INTENSIVISTS)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	5520 PARK AVE
	Group Practice or individual's line 1 address
City	TRUMBULL
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	066113463
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2033650577
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	070028
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST. VINCENT'S MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	070010
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BRIDGEPORT HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	070031
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	GRIFFIN HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y