BELEN T SIMON (PA) – Medical Physician Assistant, NPI 1912394677

BELEN T SIMON (PA) is a healthcare provider. based in Vienna, Virginia. specializing in Medical Physician Assistant. They hold the professional credentials PA. They hold a License No. 0110004901 (VA). The NPI Number for BELEN T SIMON (PA) is 1912394677

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
BELEN T SIMON (PA)
NPI
1912394677
Phone
(571) 363-3539
Address
180 Maple Ave W
Enumeration Date
21 April 2015
Last Update Date
20 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2027154000
Graduation Year
2014 (12 years ago)
PAC ID
2062719248
Group Practice PAC ID
4082528898
Professional Enrollment ID
I20160404000612
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for BELEN T SIMON (PA)

  • 180 Maple Ave W

    Vienna, VA 221805727

    Phone: (571) 363-3539

    Fax: (571) 363-3540

    Type: Location

  • 2041 Georgia Ave NW Emergency Medicine Ste 1400

    Washington, DC 200600001

    Phone: (202) 865-7038

    Fax: (202) 865-4492

    Type: Location

  • 3301 Wilson Blvd

    Arlington, VA 222012228

    Phone: (703) 243-6720

    Type: Location

  • 3301 WILSON BLVD

    ARLINGTON, VA 222012228

    Phone: (703) 243-6720

    Type: Mailing

  • 2150 PENNSYLVANIA AVE NW

    WASHINGTON, DC 200373201

    Phone: (202) 741-2261

    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: 2023-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160404000612IPhysician AssistantDCTBD
I20230919004348IPhysician AssistantVATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes109102$0
99214Established patient office or other outpatient visit, 30-39 minutes4343$0
99203New patient office or other outpatient visit, 30-44 minutes1919$0
99212Established patient office or other outpatient visit, 10-19 minutes1818$0
81003Automated urinalysis test1515$0
View full utilization report →

Insurance plans in this area (ZIP 22180)

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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: 4082528898View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to BELEN T SIMON (PA)?
NPI 1912394677 is assigned to BELEN T SIMON (PA) under the national enumeration system.
Is BELEN T SIMON (PA)'s NPI currently valid?
The extract we use shows BELEN T SIMON (PA) as active.
What field does BELEN T SIMON (PA) work in?
You can think of BELEN T SIMON (PA) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for BELEN T SIMON (PA)?
The page summarizes Vienna, Virginia for BELEN T SIMON (PA); expand the address list for detail.
How can I contact BELEN T SIMON (PA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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