SIMON M. CORNELISSEN MD – NPI #1699759415
Orthopaedic Surgery

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Health Care Provider Taxonomy Code for Orthopaedic Surgery

SIMON CORNELISSEN is an orthopaedic surgeon located in NORTH EASTON, MA. NPPES has assigned the NPI number 1699759415 to SIMON CORNELISSEN on December 05, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207X00000X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery.

The NPI profile was last updated on Apr 24, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SIMON CORNELISSEN below.

NPI Profile for
SIMON M. CORNELISSEN

NPI Number
1699759415
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SIMON M. CORNELISSEN
Credentials
MD
Primary location
15 ROCHE BROS WAY
NORTH EASTON, MA 02356
Phone: (781) 344-3535 Fax: (508) 535-0192
1 Other location(s):
100 ONeil Blvd
Attleboro, MA 02703-4250
Phone: (508) 342-1103
Fax: (508) 342-1945
Mailing address
PO BOX 30
STOUGHTON, MA 02072-0030
Phone: (781) 344-3535 Fax: (508) 535-0192
Sole Proprietor
No
Updated
Certification Date
Apr 24, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SIMON CORNELISSEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMA0143821
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207X00000X
- Orthopaedic Surgery (Primary)		 MA 208328
174400000X
- Specialist		 MA 208328

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
YALE UNIVERSITY SCHOOL OF MEDICINE - Graduated 1996
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SIMON CORNELISSEN is affiliated with the following medical group(s):
  • HOSPITAL
    • GOOD SAMARITAN MEDICAL CENTER
      235 NORTH PEARL STREET
      BROCKTON, MA 02301
    • MORTON HOSPITAL
      88 WASHINGTON STREET
      TAUNTON, MA 02780
    • SIGNATURE HEALTHCARE BROCKTON HOSPITAL
      680 CENTER STREET
      BROCKTON, MA 02302

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