Individual provider Active NPI

Stephen Michael Sims, MD

  • Pain Medicine Physician
  • Huntsville, TX
National Provider Identifier
1083623136
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
J7288 Issued in TX
Practice address
133 Medical Park LN Ste B
Huntsville, TX 77340-4979
Phone
(936) 730-8833
Fax
(936) 730-8866
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X J7288 TX Primary

Addresses

Primary practice location

133 Medical Park LN Ste B
Huntsville, TX 77340-4979

Mailing address

PO Box 621004
Dallas, TX 75262-1004
Phone (936) 756-3464

Other practice location 1

1020 Riverwood Ct Ste 200
Conroe, TX 77304-2974
Phone (936) 756-3444

Other practice location 2

17189 I 45 S Ste 265
Shenandoah, TX 77385-3323
Phone (936) 647-1469

Other identifiers 3

IdentifierTypeStateIssuer
118109106MedicaidTX
8G5120OtherTXBCBS
050089129OtherTXMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101102000945 TX Practitioner - Pain ManagementPractitioner - Anesthesiology 4981695681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Texas Medical Branch at Galveston, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen M Sims MD PAGroup PAC ID 3476655499, 5 clinicians

Practice addresses (Care Compare)

1020 Riverwood CT
Suite 200
Conroe, TX 77304-2974
Phone (936) 756-3444

Hospital & facility affiliations

  • Aspire Hospital Hospital, Conroe, TX, CCN 670093
  • Huntsville Memorial Hospital Hospital, Huntsville, TX, CCN 450347
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122

Merit-based Incentive Payment System (MIPS)

Final score
92.29 of 100Reported as group
Quality
81.37
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J7288TXMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen M. Sims, MD, PA Pain Medicine CurrentSince Sep 1, 2002 Accepting new patients
Conroe Ambulatory Anesthesia PA CurrentSince Nov 11, 2010 Accepting new patients
Stephen M. Sims, MD, PA CurrentSince Sep 1, 2002 Accepting new patients

Locations

4019 I 45 N
#150N
Conroe, TX 77304
Phone (936) 641-8181

1020 Riverwood Ct
Ste 200
Conroe, TX 77304
Phone (936) 703-5086

503 Medical Center Blvd
Ste 110
Conroe, TX 77304
Phone (936) 756-3444

4019 I 45 N
#150
Conroe, TX 77304
Phone (936) 641-8181

133 Medical Park Ln
Ste B
Huntsville, TX 77340
Phone (936) 730-8833

17189 I 45 S
Ste 265
Shenandoah, TX 77385
Phone (936) 647-1469

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23958/brand/1/csg/1/fhir/r4
  • Direct secure messaging: hmhssims@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aspire Behavioral Health of Conroe LLCConroe, TX, CCN 670093 Hospital 5% Or Greater Direct Ownership Interest May 15, 2009

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 10

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1083623136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621004",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752621004",
            "telephone_number": "936-756-3464",
            "fax_number": "936-703-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 MEDICAL PARK LN STE B",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404979",
            "telephone_number": "936-730-8833",
            "fax_number": "936-730-8866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Riverwood Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042974",
            "country_code": "US",
            "telephone_number": "936-756-3444",
            "fax_number": "936-756-3452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17189 I 45 S Ste 265",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773853323",
            "country_code": "US",
            "telephone_number": "936-647-1469",
            "fax_number": "936-242-1274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "J7288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118109106",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G5120",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "050089129",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

Verify at the official NPI Registry.