DR. KIM BOLAN SIMIC (MD) – Psychiatry Physician, NPI 1821116757

DR. KIM BOLAN SIMIC (MD) is a healthcare provider. based in Valparaiso, Indiana. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 01040307A (IN). The NPI Number for DR. KIM BOLAN SIMIC (MD) is 1821116757

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIM BOLAN SIMIC (MD)
NPI
1821116757
Phone
(219) 681-6830
Address
4608 THORNBURY DR W
Enumeration Date
27 March 2007
Last Update Date
12 January 2024

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
1991 (35 years ago)
PAC ID
8426089285
Group Practice PAC ID
3072790682
Professional Enrollment ID
I20050822001354
Address ID
IN479331071CR1704XRDXX300

Contacts

Secure Messaging
ksimic91664@Direct.FranciscanAlliance.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

529 PSYCHIATRY in IN

Provider Addresses for DR. KIM BOLAN SIMIC (MD)

  • 4608 THORNBURY DR W

    VALPARAISO, IN 463830816

    Phone: (219) 681-6830

    Fax: (219) 531-4957

    Type: Mailing

  • 297 W FRANCISCAN DR

    SUITE 108

    CROWN POINT, IN 463074858

    Phone: (219) 681-6830

    Fax: (219) 531-4957

    Type: Location

  • 297 W Franciscan Dr Ste 108

    Crown Point, IN 463074859

    Phone: (219) 681-6830

    Fax: (219) 531-4957

    Type: Location

  • PO BOX 781076

    DETROIT, MI 482781076

    Phone: (317) 528-4800

    Fax: (317) 865-1479

    Type: Mailing

  • 12750 SAINT FRANCIS DR

    CROWN POINT, IN 463070264

    Phone: (219) 852-1524

    Fax: (219) 933-2288

    Type: Location

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: 2005-08-22

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
I20050822001354IPsychiatryINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes18189$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9488$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2315$0
View full utilization report →

Insurance plans in this area (ZIP 46383)

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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: 3072790682View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. KIM BOLAN SIMIC (MD)?
NPI 1821116757 is assigned to DR. KIM BOLAN SIMIC (MD) under the national enumeration system.
Is DR. KIM BOLAN SIMIC (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. KIM BOLAN SIMIC (MD) list a primary specialty?
If you are matching referrals, note Psychiatry Physician for DR. KIM BOLAN SIMIC (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. KIM BOLAN SIMIC (MD)?
We surface Valparaiso, Indiana for DR. KIM BOLAN SIMIC (MD) based on available NPPES addresses.
Is DR. KIM BOLAN SIMIC (MD) a real provider?
This page reflects official NPPES data for NPI 1821116757. Always confirm identity and privileges with the practice and licensing boards.

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