Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark J Simone-Skidmore, MD

Individual provider Geriatric Medicine (Internal Medicine) Physician · NPI 1568681609

Dr. Mark J Simone-Skidmore, MD is a Geriatric Medicine in Philadelphia, Pennsylvania. Graduated from Jefferson Medical College of Thomas Jefferson University in 2004, 22 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Pennsylvania.

Years since qualifying
22
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
MA, PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3615 Chestnut St
Philadelphia, PA 19104-2612
Phone: (215) 662-2746
Fax: (215) 349-5648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence MD464838 (PA)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence 231612 (MA)

Record details

NPI number1568681609
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 25, 2007
Last updated in NPPESNovember 4, 2021
Certification dateNovember 4, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGERIATRIC MEDICINE
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2004 (22 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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