VINCENT A SIMONETTI MD NPI 1811092778

NPI Information

  • NPI: 1811092778
  • Provider Name: VINCENT A SIMONETTI, MD
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1100 E MICHIGAN AVE
    SUITE 201
    JACKSON, MI
    ZIP 49201
  • Phone: (517) 817-7605

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NPI Details

Vincent A Simonetti, MD is a thoracic surgery cardiothoracic vascular surgery in Jackson, MI with 36 years of experience. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. Vincent A Simonetti, MD NPI is 1811092778. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

1100 E MICHIGAN AVE
SUITE 201
JACKSON, MI
ZIP 49201-847
Phone: (517) 817-7605
Fax: (517) 817-7606

The NPI 1811092778 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.

  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Replacement of aortic valve through the skin and femoral artery (HCPCS:33361)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Harvest of vein using an endoscope (HCPCS:33508)
  • Coronary artery bypass graft (CABG) (HCPCS:NAN07)

The enumeration date for this NPI number is 9/14/2006 and was last updated on 11/5/2015.

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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)4301055837MICHIGANYes

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
1G14835MEDICARE UPIN
2M95720021MEDICARE PINMICHIGAN

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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