MR. SIMON AWADIS OVANESSIAN (MD) – Psychiatry Physician, NPI 1376585091

MR. SIMON AWADIS OVANESSIAN (MD) is a healthcare provider. based in Westborough, Massachusetts. specializing in ADDICTION MEDICINE, PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 232261 (NY). The NPI Number for MR. SIMON AWADIS OVANESSIAN (MD) is 1376585091

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. SIMON AWADIS OVANESSIAN (MD)
NPI
1376585091
Phone
(508) 329-6300
Address
300 FRIBERG PKWY
Enumeration Date
10 June 2006
Last Update Date
3 September 2024

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
9789931988
Graduation Year
2002 (24 years ago)
PAC ID
9234124348
Group Practice PAC ID
0446698039
Professional Enrollment ID
I20241205000082
Address ID
MA019156286BE100XXCTRX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

146 ADDICTION MEDICINE in MA

Provider Addresses for MR. SIMON AWADIS OVANESSIAN (MD)

  • 300 FRIBERG PKWY

    WESTBOROUGH, MA 015813900

    Phone: (508) 329-6300

    Fax: (508) 329-6088

    Type: Mailing

  • Community Council, 7, Prospect Street, Ward 4, Nashua, Hillsborough County, New Hampshire, 03060, United States

    NASHUA, NH 03060

    Phone: (603) 889-6147

    Fax: (603) 883-1568

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $22,377.

Total Amount is formed as General ($22,377) + Research ($0) + Ownership ($0) = $22,377.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($21,808).

Total Amount

$22,377

General + Research + Ownership

Payments

57

Total payment records

General Amount

$22,377

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20040419000198IPsychiatryCTTBD
I20051121000007IPsychiatryNYTBD
I20170317000517IPsychiatryNJTBD
I20241205000082IPsychiatryMATBD

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 01581)

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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: 0446698039View full group profile
NameSpecialtyState
Clinical Social WorkerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Where can patients find MR. SIMON AWADIS OVANESSIAN (MD)'s NPI?
You can confirm MR. SIMON AWADIS OVANESSIAN (MD) with NPI 1376585091; it appears in the national provider directory.
Does this profile mean MR. SIMON AWADIS OVANESSIAN (MD) is currently active?
Yes — MR. SIMON AWADIS OVANESSIAN (MD) appears active in the national provider directory.
What kind of provider is MR. SIMON AWADIS OVANESSIAN (MD)?
The page reflects Psychiatry Physician for MR. SIMON AWADIS OVANESSIAN (MD). Clinical services aligned with this taxonomy classification.
Where does public data place MR. SIMON AWADIS OVANESSIAN (MD)?
The snapshot lists Westborough, Massachusetts for MR. SIMON AWADIS OVANESSIAN (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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