Individual provider Active NPI

Joseph B Simmert, DO

  • Pediatrics Physician
  • Grand Blanc, MI
National Provider Identifier
1124120894
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
5101011898 Issued in MI
Practice address
8435 Holly Rd
Grand Blanc, MI 48439-1812
Phone
(810) 232-5627
Fax
(810) 232-8024
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5101011898 MI Primary

Addresses

Primary practice location

8435 Holly Rd
Grand Blanc, MI 48439-1812

Mailing address

3495 S Center Rd
Flint, MI 48519-1455

Other identifiers 1

IdentifierTypeStateIssuer
3258669MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20181016002647 MI Practitioner - Pediatric Medicine 6709138944 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101011898MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Medical Group Genesys CurrentSince Sep 2, 2018 Accepting new patients
Henry Ford Medical Group Genesys Pediatrics Current Accepting new patients
Henry Ford Medical Group Genesys Pediatrics CurrentSince Sep 2, 2018 Accepting new patients
Hurley Medical Center Past Accepting new patients
Henry Ford Health Genesys Hospital Past Accepting new patients
Genesys Integrated Group Practice PC Past Accepting new patients

Locations

2184 S Ballenger Hwy
Flint, MI 48503
Phone (810) 232-5627

3495 S Center Rd
Flint, MI 48519
Phone (810) 424-2025

8435 Holly Rd
Grand Blanc, MI 48439
Phone (810) 424-2400

10785 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 695-6337

Interoperability endpoints

  • Direct secure messaging: josephsimmert@pmi.allscriptsdirect.net
  • Direct secure messaging: jsimmert1151395@direct.hfhs.org

Organizations & group practices 6

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1124120894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 S CENTER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485191455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8435 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391812",
            "telephone_number": "810-232-5627",
            "fax_number": "810-232-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMERT",
        "first_name": "JOSEPH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101011898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3258669",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.