PETER T SIMONIAN M.D. NPI 1679571624

NPI Information

  • NPI: 1679571624
  • Provider Name: PETER T SIMONIAN, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6121 N THESTA ST
    SUITE 114
    FRESNO, CA
    ZIP 93710
  • Phone: (559) 439-7633

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NPI Details

Peter T Simonian, M.D. is a specialist in Fresno, CA with 35 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Peter T Simonian, M.D. NPI is 1679571624. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6121 N THESTA ST
SUITE 114
FRESNO, CA
ZIP 93710-603
Phone: (559) 439-7633
Fax: (559) 439-7631

The NPI 1679571624 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg (HCPCS:J7320)
  • Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg (HCPCS:J7331)
  • Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg (HCPCS:J7329)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Shaving of part of shoulder bone and repair of ligament using an endoscope (HCPCS:29826)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of joint lining from multiple knee joint compartments using an endoscope (HCPCS:29876)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Hyaluronan or derivative, monovisc, for intra-articular injection, per dose (HCPCS:J7327)
  • Limited removal of abnormal shoulder joint tissue using endoscope (HCPCS:29822)
  • Removal of shoulder scar tissue using an endoscope (HCPCS:29825)
  • Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee (HCPCS:G0289)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

The enumeration date for this NPI number is 7/13/2005 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G55317MEDICARE UPINCALIFORNIA
200G837730MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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