Individual provider Active NPI

Ludane Tonie Simmons, M.D.

  • Family Medicine Physician
  • Bullhead City, AZ
National Provider Identifier
1114367364
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7028 Issued in NE
Practice address
2500 Canyon Rd BLDG B
Bullhead City, AZ 86442-8624
Phone
(928) 763-9290
Fax
(928) 763-7628
NPI assigned
Jul 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7028 NE Primary

Addresses

Primary practice location

2500 Canyon Rd BLDG B
Bullhead City, AZ 86442-8624

Mailing address

2500 Canyon Rd BLDG B
Bullhead City, AZ 86442-8624
Phone (928) 763-9290

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ludane.simmons.1@1575.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, HI, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190812001390 AZ Practitioner - Family Practice 8921335142 Reassigns benefits to 2 organizations
I20230425002613 HI Practitioner - General Practice 8921335142 Reassigns benefits to 1 organization
I20230824004296 CA Practitioner - Family Practice 8921335142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians

Practice addresses (Care Compare)

16899 W Bernardo Dr
San Diego, CA 92127-1603
Phone (858) 499-2600

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
81.04
Promoting interoperability
99
Improvement activities
40
Cost
82.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7028NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bullhead City Clinic Corp Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Signify Health, LLC CurrentSince Apr 1, 2023 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Aug 14, 2023 Accepting new patients
Bullhead City Clinic Corp Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Family Medicine CurrentSince Aug 14, 2023 Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Henderson Hospital Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Desert View Regional Medical Center Holdings, LLC Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Sharp Rees-Stealy Medical Center Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

2500 Canyon Rd
Bldg B
Bullhead City, AZ 86442
Phone (928) 444-1444

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

16899 W Bernardo Dr
San Diego, CA 92127
Phone (858) 499-2705

5651 Copley Dr
San Diego, CA 92111
Phone (858) 262-6340

500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Interoperability endpoints

  • Direct secure messaging: simmonlt@yourcarecommunity.org
  • Direct secure messaging: ludane.simmons.1@1575.direct.athenahealth.com
  • Direct secure messaging: lsimmons114513@sharphealthcare.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4

Organizations & group practices 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1114367364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CANYON RD BLDG B",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428624",
            "telephone_number": "928-763-9290",
            "fax_number": "928-763-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CANYON RD BLDG B",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428624",
            "telephone_number": "928-763-9290",
            "fax_number": "928-763-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "LUDANE",
        "middle_name": "TONIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "7028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ludane.simmons.1@1575.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2500 Canyon Rd Bldg B",
            "city": "Bullhead City",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864428624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.