Individual provider Active NPI

John Nathan Simmons, M.D.

  • Diagnostic Radiology Physician
  • Medford, OR
National Provider Identifier
1124052618
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
28804 Issued in AL
Practice address
842 E Main St
Medford, OR 97504-7134
Phone
(541) 773-2493
Fax
(541) 773-3966
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 28804 AL Primary

Addresses

Primary practice location

842 E Main St
Medford, OR 97504-7134

Mailing address

842 E Main St
Medford, OR 97504-7134
Phone (541) 773-2493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20120103000303 OR Practitioner - Diagnostic Radiology 8820169469 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kansas School of Med (KC/Wich/Sal), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Advanced Imaging LLCGroup PAC ID 3577465376, 14 clinicians
Medford Radiological Group PCGroup PAC ID 2062303324, 91 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians

Practice addresses (Care Compare)

1107 Crater Lake Ave
Medford, OR 97504-4005
Phone (541) 622-6339

278 Maple St
Ashland, OR 97520-1552
Phone (541) 773-2493

280 Maple St
Ashland, OR 97520-1552
Phone (541) 618-5800

2825 E Barnett Rd
Medford, OR 97504-8332
Phone (541) 618-5800

3821 Annettes Way
Medford, OR 97504-9668
Phone (541) 773-2493

692 Murphy Rd
Medford, OR 97504-8310
Phone (541) 618-5800

842 E Main St
Medford, OR 97504-4005

870 S Front St
Central Point, OR 97502-2779
Phone (541) 622-6356

881 O Hare Pkwy
Medford, OR 97504-4005
Phone (541) 608-0350

881 Ohare Pkwy
Medford, OR 97504-4005
Phone (541) 618-5800

Hospital & facility affiliations

  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
  • Providence Medford Medical Center Hospital, Medford, OR, CCN 380075
  • Asante Ashland Community Hospital Hospital, Ashland, OR, CCN 380005
  • Legacy Silverton Medical Center Hospital, Silverton, OR, CCN 380029
  • Asante Three Rivers Medical Center Hospital, Grants Pass, OR, CCN 380002
  • Providence Medford Medical Center Inpatient rehabilitation facility, Medford, OR, CCN 38T075

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Advanced Imaging, LLC CurrentSince Oct 9, 2011 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Oct 31, 2011 Accepting new patients
Bend Memorial Clinic PC CurrentSince Jun 1, 2012 Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Oregon Advanced Imaging, LLC CurrentSince Oct 9, 2011 Accepting new patients
Southern Oregon Neurosurgical & Spine Associates, PC CurrentSince Oct 1, 2025 Accepting new patients
Bend Memorial Clinic PC CurrentSince Jun 1, 2012 Accepting new patients

Locations

280 Maple St
Ashland, OR 97520
Phone (541) 201-4000

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

2699 N 17th St
Coos Bay, OR 97420
Phone (541) 266-3600

1619 NW Hawthorne Ave
Ste 102
Grants Pass, OR 97526
Phone (541) 471-6033

881 Ohare Pkwy
Medford, OR 97504
Phone (541) 622-6333

2900 State St
Medford, OR 97504
Phone (541) 779-1672

842 E Main St
Medford, OR 97504
Phone (541) 773-7273

Organizations & group practices 8

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 6

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1124052618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 E MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047134",
            "telephone_number": "541-773-2493",
            "fax_number": "541-773-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 E MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047134",
            "telephone_number": "541-773-2493",
            "fax_number": "541-773-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JOHN",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "28804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.