Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mpepera Simango-Yiadom

Individual provider Podiatrist · NPI 1902460942

Mpepera Simango-Yiadom is a Podiatry in Stony Brook, New York. Graduated from Temple University School of Podiatric Medicine in 2019, 7 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
7
Trained at
Temple University School of Podiatric Medicine
Licensed in
MD
In the registry since
2019

Practice location Address checks out

101 Nicolls Rd Dept OF
Stony Brook, NY 11794-0001
Phone: (631) 444-2037
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 01730 (MD)

Record details

NPI number1902460942
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 25, 2019
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024
Mailing address1304 Cedarcroft Rd, Baltimore, MD 21239-2001

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stony Brook