Individual provider Active NPI

Todd D Simmons, M.D.

  • Orthopaedic Surgery Physician
  • Park Ridge, IL
National Provider Identifier
1053402552
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036093549 Issued in IL
Practice address
1550 N Northwest Hwy
Suite 220
Park Ridge, IL 60068-1411
Phone
(847) 824-3198
Fax
(847) 824-1291
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036093549 IL Primary

Addresses

Primary practice location

1550 N Northwest Hwy
Suite 220
Park Ridge, IL 60068-1411

Mailing address

1550 N Northwest Hwy
Suite 220
Park Ridge, IL 60068-1411
Phone (847) 298-7024

Other practice location 1

1675 Dempster St Fl 2
Park Ridge, IL 60068-1110
Phone (847) 318-9330

Other identifiers 2

IdentifierTypeStateIssuer
036093549MedicaidIL
201217OtherILPTAN LOCALITY 15

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tsimmons215739@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080126000126 IL Practitioner - Orthopedic Surgery 5698857878 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ohio State University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2101 Waukegan Rd
Bannockburn, IL 60015-1836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036093549ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Bone and Joint Institute LLC Orthopaedic Surgery CurrentSince Aug 1, 2020 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Apr 4, 2016 Accepting new patients
Illinois Bone and Joint Institute, LLC Orthopaedic Surgery CurrentSince Aug 1, 2020 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Apr 4, 2016 Accepting new patients

Locations

1300 E Central Rd
Arlington Hts, IL 60005
Phone (847) 255-5036

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

5057 Paysphere Cir
Chicago, IL 60674

29373 Network Pl
Chicago, IL 60673

8901 Golf Rd
Ste 301
Des Plaines, IL 60016
Phone (847) 297-8700

900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090

1009 Il Route 22
Ste 2
Fox River Grove, IL 60021
Phone (847) 842-9366

4847 Hoffman Blvd
Hoffman Estates, IL 60192
Phone (847) 318-9330

1550 N Northwest Hwy
Ste 220
Park Ridge, IL 60068
Phone (847) 298-7024

1675 Dempster St
Fl 2
Park Ridge, IL 60068
Phone (847) 318-9330

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1053402552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N NORTHWEST HWY",
            "address_2": "SUITE 220",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681411",
            "telephone_number": "847-298-7024",
            "fax_number": "847-298-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N NORTHWEST HWY",
            "address_2": "SUITE 220",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681411",
            "telephone_number": "847-824-3198",
            "fax_number": "847-824-1291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1675 Dempster St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600681110",
            "country_code": "US",
            "telephone_number": "847-318-9330",
            "fax_number": "847-723-9051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "TODD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036093549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093549",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN LOCALITY 15",
            "identifier": "201217",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tsimmons215739@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1675 Dempster St Fl 2",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1675 Dempster St Fl 2",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.