Simon Correa Gaviria, MD, MMSC
NPI 1124601042ActiveIndividual· Internal Medicine, Nephrology· New Haven, CT
Internal Medicine, Nephrology (MD, MMSC) in New Haven, Connecticut, licensed in MA, with an NPI issued in April 2021. Part D covered 156 prescriptions written in 2024, 79% of them generic.
Overview
| NPI | 1124601042 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD, MMSC |
| Sole proprietor | No |
| NPI issued | Apr 29, 2021 |
| Last updated in NPPES | Jun 11, 2026 |
| Certified by provider | Jun 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 1027330 | MA |
| Internal Medicine | 207R00000X | 1027330 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nephrology (MA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 156 · 278 30-day fills |
|---|---|
| Patients | 37 |
| Total drug cost | $18,510 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nephrology |
| Secondary specialties | Internal Medicine |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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