Active NPI 1053530782 Individual Practitioner Female Practitioner

Simone Thavaseelan

Urology • Providence, RI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Simone Thavaseelan is a certified Urology practicing in Providence, RI. With approximately 21 years of clinical experience since graduating from Georgetown University School Of Medicine in 2005, Simone Thavaseelan delivers high-quality medical care to the local community at 2 DUDLEY ST STE 185.

Simone Thavaseelan maintains professional affiliations with Lifespan Physician Group Inc, Brown Urology, Inc. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include detection test for organism, automated urinalysis test, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2 Dudley St Ste 185

Providence, RI 029053247

Telephone 4014445795

Associated Practice Facility / Clinic

🏢 Brown Urology, Inc. Facility NPI 1427525583

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Providence, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -0.6 yrs vs City Avg

City Avg: 21.6 Yrs

State Avg: 25.3 Yrs

Regional Practice Density

32 Specialists

Practicing in Providence, RI (71 Statewide)

Telehealth Adoption Rate

43.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

57.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thavaseelan (21 Years) 21 Yrs

Providence Specialty Average (21.6 Years) 21.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87798 Detection test for organism	260	19	$79.00	$34.39
81003 Automated urinalysis test	113	86	$5.00	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	104	81	$210.00	$91.45
87801 Detection test for multiple organisms	60	19	$158.00	$68.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	39	$296.75	$129.27
74420 Imaging of urinary tract	32	32	$166.63	$24.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$386.31	$167.87
52356 Crushing of stone of ureter with insertion of stent using an endoscope	30	29	$937.60	$405.90
51798 Ultrasound measurement of bladder capacity after voiding	22	18	$25.32	$11.49
87500 Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique	20	19	$79.00	$34.39
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	20	19	$79.00	$34.39
52000 Diagnostic exam of bladder and urethra using an endoscope	17	13	$564.71	$242.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$131.60	$57.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	13	$181.93	$78.16
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	15	$747.33	$321.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$298.57	$129.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87798 Detection test for organism	169	12	$79.00	$34.39
81003 Automated urinalysis test	75	57	$5.00	$2.15
99441 Telephone medical discussion with physician, 5-10 minutes	60	49	$132.00	$56.89
87801 Detection test for multiple organisms	39	12	$158.00	$68.80
99213 Established patient office or other outpatient visit, typically 15 minutes	36	31	$137.00	$88.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$202.00	$121.56
74420 Imaging of urinary tract	25	23	$58.00	$24.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	17	$165.00	$79.83
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	18	$1011.58	$422.72
51798 Ultrasound measurement of bladder capacity after voiding	19	18	$25.00	$11.12
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	15	$776.00	$328.98
87500 Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique	13	12	$79.00	$34.39
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	13	12	$79.00	$34.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$312.00	$131.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87798 Detection test for organism	299	20	$76.26	$34.65
81003 Automated urinalysis test	69	54	$6.81	$2.20
87801 Detection test for multiple organisms	69	20	$140.35	$69.31
99213 Established patient office or other outpatient visit, typically 15 minutes	65	46	$137.00	$92.58
99441 Telephone medical discussion with physician, 5-10 minutes	65	57	$121.17	$58.14
51798 Ultrasound measurement of bladder capacity after voiding	28	25	$62.50	$11.13
74420 Imaging of urinary tract	24	22	$129.25	$25.38
87500 Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique	23	20	$76.26	$34.65
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	23	20	$76.26	$34.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	17	$204.00	$72.67
52356 Crushing of stone of ureter with insertion of stent using an endoscope	22	22	$1150.73	$433.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$414.00	$173.55
99442 Telephone medical discussion with physician, 11-20 minutes	16	15	$196.44	$93.73
52000 Diagnostic exam of bladder and urethra using an endoscope	14	12	$611.14	$260.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$202.00	$131.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	113	75	$137.00	$80.50
81003 Automated urinalysis test	75	57	$10.00	$2.25
51798 Ultrasound measurement of bladder capacity after voiding	32	23	$130.00	$10.95
74420 Imaging of urinary tract	19	19	$229.00	$25.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$414.00	$175.10
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	14	$1514.06	$135.78
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$317.00	$103.77
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	13	$1412.14	$430.57
99441 Telephone medical discussion with physician, 5-10 minutes	14	14	$100.00	$58.83
52000 Diagnostic exam of bladder and urethra using an endoscope	12	12	$659.00	$250.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	165	106	$137.16	$64.13
81003 Automated urinalysis test	73	55	$10.00	$2.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	31	$122.00	$40.92
51798 Ultrasound measurement of bladder capacity after voiding	29	24	$130.00	$10.93
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$317.00	$106.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$414.00	$156.42
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	16	$1456.74	$398.94
74420 Imaging of urinary tract	18	17	$229.00	$25.40
52000 Diagnostic exam of bladder and urethra using an endoscope	17	14	$645.24	$214.33
87086 Bacterial colony count, urine	14	12	$11.00	$7.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	163	112	$10.00	$2.44
99213 Established patient office or other outpatient visit, typically 15 minutes	140	97	$95.00	$76.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	27	$50.00	$40.60
51798 Ultrasound measurement of bladder capacity after voiding	31	27	$130.00	$12.82
52332 Insertion of stent in urinary duct (ureter) using an endoscope	25	20	$912.00	$144.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$135.00	$112.54
52000 Diagnostic exam of bladder and urethra using an endoscope	21	18	$375.00	$199.35
74420 Imaging of urinary tract	21	17	$111.57	$26.73
87086 Bacterial colony count, urine	19	17	$11.00	$8.79
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	17	$1200.00	$422.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$220.00	$170.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$257.00	$200.34
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	14	$415.71	$283.18
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$125.00	$104.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	141	95	$10.00	$2.69
99213 Established patient office or other outpatient visit, typically 15 minutes	116	74	$95.00	$74.81
51798 Ultrasound measurement of bladder capacity after voiding	43	38	$130.00	$16.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$220.00	$166.84
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	21	$646.15	$113.04
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	19	19	$410.00	$258.63
52000 Diagnostic exam of bladder and urethra using an endoscope	17	14	$375.00	$174.56
87086 Bacterial colony count, urine	16	14	$11.00	$9.76
74420 Imaging of urinary tract	13	12	$178.00	$18.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$140.00	$107.85
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	11	11	$600.00	$242.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	140	91	$10.00	$2.55
99213 Established patient office or other outpatient visit, typically 15 minutes	127	82	$95.00	$74.84
51798 Ultrasound measurement of bladder capacity after voiding	33	26	$130.00	$20.34
52332 Insertion of stent in urinary duct (ureter) using an endoscope	29	21	$600.00	$103.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$220.00	$168.50
74420 Imaging of urinary tract	27	24	$178.00	$18.17
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$257.00	$211.80
52000 Diagnostic exam of bladder and urethra using an endoscope	16	14	$375.00	$171.71
52351 Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope	14	13	$616.07	$297.70
52353 Crushing of stone of ureter using an endoscope	11	11	$1100.00	$400.02

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License RI MD13391

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Group Ptan

349005986 (RI)

Commercial Insurance / Payer ID Group Npi

1659463230

Hospital & Practice Group Affiliations

Lifespan Physician Group Inc

593 Eddy St Apc, Providence, RI 029034923

Phone: 4017939172

Lifespan Physician Group Inc

593 Eddy St, Providence, RI 029034923

Lifespan Physician Group Inc

593 Eddy St George Bldg 1st Floor, Providence, RI 029034923

Phone: 4017939166

Brown Urology, Inc.

2 Dudley St, Providence, RI 029053246

Phone: 4014210710

Lifespan Physician Group Inc

185 A High Service Ave, North Providence, RI 029045114

Phone: 4013546050

Lifespan Physician Group Inc

164 Summit Ave, Providence, RI 029062853

Lifespan Physician Group Inc

185 High Service Ave, North Providence, RI 029045114

Phone: 4013546050

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Daniel Sanford , MD

Urology

NPI 1023766540

Doctor of Medicine (M.D.)

Dr. Sreeya Komaravolu , MD

Urology

NPI 1225650286

Doctor of Medicine (M.D.)

Dr. Emily Barry , MD

Student in an Organized Health Care Education/Training Program

NPI 1235713025

Doctor of Medicine (M.D.)

Sarah Moore

Urology

NPI 1538620760

Dr. Joseph Wiedemer , MD

Student in an Organized Health Care Education/Training Program

NPI 1790434660

Doctor of Medicine (M.D.)

Dr. Suhas Penukonda , MD

Urology

NPI 1972248201

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 14, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 14, 2011

Registered at 2 DUDLEY ST STE 185, PROVIDENCE, RI 029053247 (Tel: 4014445795)

📍

Updated Business Mailing Address October 14, 2011

Registered at 195 COLLYER ST STE 201, PROVIDENCE, RI 029041869 (Tel: 4012727799)

👤

Provider Name / Credentials Updated October 14, 2011

Recorded as SIMONE THAVASEELAN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2011

Urology (License #MD13391 in RI)

🟢

Initial NPI Registration & Enumeration April 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053530782

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 24, 2007

Last Update: October 14, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

195 Collyer St Ste 201

Providence, RI 029041869

Phone: 4012727799

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.