Individual provider Active NPI

William Louis Sims, MD

  • Surgery Physician
  • Hobart, OK
National Provider Identifier
1073519203
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9800390 Issued in NC
Practice address
407 W Forest LN
Hobart, OK 73651-1645
Phone
(580) 726-5673
Fax
(580) 726-2416
NPI assigned
Jun 22, 2005
Last updated
Apr 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 9800390 NC Primary

Addresses

Primary practice location

407 W Forest LN
Hobart, OK 73651-1645

Mailing address

429 West Elm
Elkview General Hospital
Hobart, OK 73651-1615
Phone (580) 726-1900

Other identifiers 2

IdentifierTypeStateIssuer
1132OtherNCBCBS
891132RMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20120821001039 AK Practitioner - General Surgery 8820176944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Texas Tech University Health Science Center School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1915 E Rezanof Dr
Kodiak, AK 99615-6602
Phone (907) 486-3281

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.58 of 100Reported as group
Quality
74.05
Improvement activities
40
Cost
56.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9800390NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Jan 1, 2026 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Harris Regional Hospital Inc. Surgery Past Accepting new patients
Mountain Surgical Associates Surgery Past Accepting new patients

Locations

1915 E Rezanof Dr
Kodiak, AK 99615
Phone (907) 486-3281

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1073519203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 WEST ELM",
            "address_2": "ELKVIEW GENERAL HOSPITAL",
            "city": "HOBART",
            "state": "OK",
            "postal_code": "736511615",
            "telephone_number": "580-726-1900",
            "fax_number": "580-726-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W FOREST LN",
            "city": "HOBART",
            "state": "OK",
            "postal_code": "736511645",
            "telephone_number": "580-726-5673",
            "fax_number": "580-726-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "WILLIAM",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "9800390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1132",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891132R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, OK

Sources for this page

Verify at the official NPI Registry.