DR. IOURI IVANOVICH SIMONENKO (M.D.) – Psychiatry Physician, NPI 1891956157

DR. IOURI IVANOVICH SIMONENKO (M.D.) is a healthcare provider. based in El cajon, California. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. A147937 (CA). The NPI Number for DR. IOURI IVANOVICH SIMONENKO (M.D.) is 1891956157

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. IOURI IVANOVICH SIMONENKO (M.D.)
NPI
1891956157
Phone
(619) 515-2300
Address
525 E MAIN ST
Enumeration Date
19 June 2008
Last Update Date
8 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8009132615
Graduation Year
1986 (40 years ago)
PAC ID
0749430015
Group Practice PAC ID
0749795102
Professional Enrollment ID
I20250724000249
Address ID
CA951245156SA4850XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

4,134 PSYCHIATRY in CA

Provider Addresses for DR. IOURI IVANOVICH SIMONENKO (M.D.)

  • 525 E MAIN ST

    EL CAJON, CA 920204007

    Phone: (619) 515-2300

    Fax: (619) 269-0674

    Type: Location

  • Sussex Court, The Pines, Cave Spring, Roanoke County, Virginia, 24018, United States

    ROANOKE, VA 240182344

    Phone: (540) 588-8774

    Type: Mailing

  • 1010, Remington Plaza, Remmington Commercial, Raymore, Cass County, Missouri, 64083, United States

    RAYMORE, MO 640838640

    Phone: (816) 318-4430

    Type: Location

  • 823 GATEWAY CENTER WAY

    SAN DIEGO, CA 921024541

    Phone: (619) 515-2300

    Fax: (619) 269-0674

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250724000249IPsychiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92020)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749795102View full group profile
NameSpecialtyState
P S Y C H I A T R YCA
P S Y C H I A T R YCA
P S Y C H I A T R YCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Mental Health CounselorPA
P S Y C H I A T R YGA
P S Y C H I A T R YCA
P S Y C H I A T R YCA
Marriage And Family TherapistCA

Reviews

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Frequently asked questions

How do payers reference DR. IOURI IVANOVICH SIMONENKO (M.D.)?
For DR. IOURI IVANOVICH SIMONENKO (M.D.), use NPI 1891956157 as the unique 10-digit identifier.
Is there an active status for DR. IOURI IVANOVICH SIMONENKO (M.D.)?
For scheduling context, DR. IOURI IVANOVICH SIMONENKO (M.D.) is shown as active in the registry.
What clinical focus is listed for DR. IOURI IVANOVICH SIMONENKO (M.D.)?
At a glance, DR. IOURI IVANOVICH SIMONENKO (M.D.) is tied to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. IOURI IVANOVICH SIMONENKO (M.D.) located near El Cajon?
DR. IOURI IVANOVICH SIMONENKO (M.D.) currently maps to El Cajon, California in this extract.
When was this NPI issued?
Enumeration for DR. IOURI IVANOVICH SIMONENKO (M.D.) is noted as June 19, 2008 where the registry provides it.

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