Individual provider Active NPI

Stephen L. Simpson, M.D.

  • Specialist
  • Ayer, MA
National Provider Identifier
1154322964
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
205051 Issued in MA
Practice address
198 Groton Rd
Suite 1
Ayer, MA 01432-1177
Phone
(978) 862-0025
Fax
(978) 862-0049
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 205051 MA Primary

Addresses

Primary practice location

198 Groton Rd
Suite 1
Ayer, MA 01432-1177

Mailing address

198 Groton Rd
Suite 1
Ayer, MA 01432-1177
Phone (978) 862-0025

Other identifiers 9

IdentifierTypeStateIssuer
J22501OtherMABCBS
103355800OtherMAACS
6919759006OtherMACIGNA
48317OtherMAFALLON
408251OtherMATUFTS
0101877MedicaidMA
0900631OtherUNITED HEALTH
172414OtherMAHARVARD PILGRIM
2430200OtherMAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040512001319 MA Practitioner - Orthopedic Surgery 0648260794 Reassigns benefits to 1 organization
Practice locations: Ayer, MA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205051MAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc Specialist CurrentSince Sep 18, 2022 Accepting new patients
Steward Medical Group, Inc Specialist CurrentSince Sep 18, 2022 Accepting new patients

Locations

198 Groton Rd
Ste 1
Ayer, MA 01432
Phone (978) 259-4700

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

190 Groton Rd
Ste 290
Ayer, MA 01432
Phone (978) 772-1277

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

Organizations & group practices 2

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1154322964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 GROTON RD",
            "address_2": "SUITE 1",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321177",
            "telephone_number": "978-862-0025",
            "fax_number": "978-862-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 GROTON RD",
            "address_2": "SUITE 1",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321177",
            "telephone_number": "978-862-0025",
            "fax_number": "978-862-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "STEPHEN",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "205051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J22501",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS",
            "identifier": "103355800",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6919759006",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "48317",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "408251",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101877",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "0900631",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "172414",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2430200",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ayer, MA

Sources for this page

Verify at the official NPI Registry.