SIMONE THAVASEELAN – Urology Physician, NPI 1053530782

SIMONE THAVASEELAN is a healthcare provider. based in Providence, Rhode Island. specializing in UROLOGY. They hold a License No. MD13391 (RI). The NPI Number for SIMONE THAVASEELAN is 1053530782

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
SIMONE THAVASEELAN
NPI
1053530782
Phone
(401) 272-7799
Address
195 COLLYER ST STE 201
Enumeration Date
24 April 2007
Last Update Date
14 October 2011

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4014210710
Graduation Year
2005 (21 years ago)
PAC ID
2668641945
Group Practice PAC ID
7810254513
Professional Enrollment ID
I20110802000527
Address ID
RI029053246PR2XXXXSTXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

58 UROLOGY in RI

Provider Addresses for SIMONE THAVASEELAN

  • 195 COLLYER ST STE 201

    PROVIDENCE, RI 029041869

    Phone: (401) 272-7799

    Fax: (401) 272-9299

    Type: Mailing

  • 2 DUDLEY ST STE 185

    PROVIDENCE, RI 029053247

    Phone: (401) 444-5795

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $7,730.

Total Amount is formed as General ($7,730) + Research ($0) + Ownership ($0) = $7,730.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Boston Scientific Corporation ($7,730).

Total Amount

$7,730

General + Research + Ownership

Payments

15

Total payment records

General Amount

$7,730

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

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: 2011-08-02

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
I20110802000527IUrologyRITBD

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
87798Detection test by nucleic acid for organism, amplified probe technique16912$0
81003Automated urinalysis test7557$0
99441Telephone medical discussion with physician, 5-10 minutes6049$0
87801Detection test by nucleic acid for multiple organisms, amplified probe(s) technique3912$0
99213Established patient office or other outpatient visit, 20-29 minutes3631$0
View full utilization report →

Insurance plans in this area (ZIP 02904)

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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: 7810254513View full group profile
NameSpecialtyState
Physician AssistantRI
U R O L O G YMA
-RI
-RI
U R O L O G YRI
Nurse PractitionerRI
Radiation OncologyRI
U R O L O G YRI
U R O L O G YRI
Radiation OncologyCA

Reviews

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Frequently asked questions

What is the standard ID for SIMONE THAVASEELAN in the U.S.?
In the U.S., SIMONE THAVASEELAN is identified by NPI 1053530782.
Is SIMONE THAVASEELAN's NPI status active today?
Active status means SIMONE THAVASEELAN's NPI record is not deactivated in the public file.
Which specialty label fits SIMONE THAVASEELAN?
NPPES ties SIMONE THAVASEELAN to Urology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is SIMONE THAVASEELAN tied to Providence, Rhode Island?
If you are local to Providence, Rhode Island, SIMONE THAVASEELAN may be relevant to your search.
Who maintains SIMONE THAVASEELAN's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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