NPI registry status
Active
2026 NPPES data Nephrology Physician NPI 1205863586 MD
Verify on CMS → Simin Goral, MD
Nephrology Physician in Philadelphia, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,534 in Nephrology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
155
Medicare Part D claims · 58 beneficiaries · Nephrology Physician avg: 1K
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Simin Goral, MD filed 155 Medicare Part D claims in 2023 as a Nephrology Physician in Philadelphia, Pennsylvania.
- 155
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Simin Goral, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
155 35th percentile higher than 35% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Simin Goral, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Simin Goral, MD?
Quality data not reportedPrimary specialty
Nephrology Physician
Medicare Part D claims
155 89% vs specialty avg
Specialty distribution in Pennsylvania
How Nephrology Physician compares to other specialties among Pennsylvania providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Nephrology Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Simin Goral, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 3400 SPRUCE ST, Philadelphia, PA, 19104, with a listed phone of (215) 662-2638. NPI 1205863586 was issued on 06/26/2006.
Medicare Part D records for calendar year 2023 show 155 prescription claims written by this provider, covering 58 Medicare beneficiaries and totaling roughly $45K in drug spend.
Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1205863586 |
|---|---|
| Specialty | Nephrology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 06/26/2006 |
Hospital and facility affiliations
Facilities where Simin Goral, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
University OF Penn-Medical Group
Lancaster, PA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Pennsylvania PA-BOM 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Simin Goral, MD. To verify Simin Goral, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
155
Total Claims
$45K
Total Drug Cost
58
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 324
- Total Day Supply
- 9,629
- Generic Drug Cost
- $6K
Patient Demographics
- Average Patient Age
- 67.6 years
- Avg HCC Risk Score
- 2.94
- Gender Split
- 50% female / 50% male
- Age Distribution
- <65: 17, 65-74: 32, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Prednisone | 28 |
| Carvedilol | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Nephrology Physician Overview
How Simin Goral, MD fits within the Nephrology Physician landscape nationally.
10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider
Simin Goral, MD's 155 claims are below the specialty average of 1,454.
Nearby Nephrology Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Goral.
Dr. Mohamed Anwar Abdus Samad
MD
York, PA
Dr. Samer Abou Chehade
M.D
Erie, PA
Blaise Abramovitz
Pittsburgh, PA
Dr. Parvaneh Abtahi
MD
Wyomissing, PA
Azza Abubaker
Philadelphia, PA
Compare Nephrology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Nephrology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Pennsylvania
Frequently Asked Questions
What is Simin Goral, MD's specialty? ▼
Simin Goral, MD specializes in Nephrology Physician and practices in Philadelphia, Pennsylvania. Credentials: MD.
How much does Simin Goral, MD prescribe under Medicare Part D? ▼
In 2023, Simin Goral, MD wrote 155 Medicare Part D claims totaling $45K in drug costs for 58 beneficiaries.
Where is Simin Goral, MD located? ▼
Simin Goral, MD is located at 3400 SPRUCE ST, Philadelphia, PA, 19104. Phone: (215) 662-2638.
What is Simin Goral, MD's NPI number? ▼
Simin Goral, MD's National Provider Identifier (NPI) is 1205863586, issued on 06/26/2006.
How many Nephrology Physician providers are there in the US? ▼
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does Simin Goral, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Simin Goral, MD's most frequently prescribed drugs include Prednisone, Carvedilol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Simin Goral, MD accept Medicare? ▼
Simin Goral, MD appears in CMS Medicare data with 155 Part D claims and 58 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Simin Goral, MD's credentials? ▼
Simin Goral, MD's NPI is 1205863586 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.