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Desseray Simon

NPI 1275712838ActiveIndividual· Specialist· Saint Paul, MN

Specialist in Saint Paul, Minnesota, with an NPI issued in October 2007.

Overview

NPI1275712838
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedOct 31, 2007
Last updated in NPPESOct 31, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Specialist providers in Saint Paul

All 37 Specialist providers in Saint Paul · All Specialist providers in Minnesota