Active NPI
Stephen L. Simpson, M.D.
- Specialist
- Ayer, MA
National Provider Identifier
1154322964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 205051
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J22501 | Other | MA | BCBS |
| 103355800 | Other | MA | ACS |
| 6919759006 | Other | MA | CIGNA |
| 48317 | Other | MA | FALLON |
| 408251 | Other | MA | TUFTS |
| 0101877 | Medicaid | MA | |
| 0900631 | Other | UNITED HEALTH | |
| 172414 | Other | MA | HARVARD PILGRIM |
| 2430200 | Other | MA | AETNA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205051 | MA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Specialist | Current | Accepting new patients |
| Steward Medical Group, Inc | Specialist | Current | 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.
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Specialist
- Brighton, MA
- NPI 1356654495
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.