Simon Kidanemariam, MD
NPI 1811790652 · Student in an Organized Health Care Education/Training Program · Brockton, MA
Enrolled with Medicare as Order and Referring Only - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Simon Kidanemariam, MD is a Student in an Organized Health Care Education/Training Program provider in Brockton, MA (NPI 1811790652).
Provider details
- NPI number
- 1811790652
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-28
- Last updated
- 2025-03-28
- Certified
- 2025-03-28
Frequently asked questions
- What is Simon Kidanemariam's NPI number?
- Simon Kidanemariam's National Provider Identifier (NPI) is 1811790652, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Simon Kidanemariam's specialty?
- Simon Kidanemariam is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Simon Kidanemariam located?
- Simon Kidanemariam's practice location on file with NPPES is 680 Centre St, Brockton, MA 02302-3308.
- What is Simon Kidanemariam's phone number?
- The practice phone number listed in the NPPES registry for Simon Kidanemariam is (508) 941-7210.
- Does Simon Kidanemariam accept Medicare?
- Simon Kidanemariam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Simon Kidanemariam's NPI active?
- Yes — Simon Kidanemariam's NPI (1811790652) is active in the NPPES registry as of the last update on 2025-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.