Individual provider Active NPI

Laura W Simons, MD

  • Diagnostic Radiology Physician
  • London, KY
National Provider Identifier
1174576078
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
31617 Issued in KY
Practice address
1008 Sherwood Dr
London, KY 40741-1639
Phone
(606) 877-9382
Fax
(909) 877-9031
NPI assigned
May 19, 2006
Last updated
May 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

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 31617 KY Primary

Addresses

Primary practice location

1008 Sherwood Dr
London, KY 40741-1639

Mailing address

1008 Sherwood Dr
London, KY 40741-1639
Phone (606) 877-9382

Other identifiers 1

IdentifierTypeStateIssuer
64316177MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20051018000042 KY Practitioner - Diagnostic Radiology 3274559471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Louisville School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Kentucky Radiology PLLCGroup PAC ID 8921906983, 54 clinicians

Practice addresses (Care Compare)

360 Amsden Ave
Versailles, KY 40383-1851
Phone (606) 873-3111

4305 New Shepherdsville Rd
Bardstown, KY 40004-9019
Phone (502) 350-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Regional Imaging LLC Diagnostic Radiology Past Accepting new patients
Lake Cumberland Regional Hospital, LLC Past Accepting new patients
Bluegrass Radiology Associates Inc Diagnostic Radiology Past Accepting new patients
Bluegrass Regional Imaging LLC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274400000000",
    "number": "1174576078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 SHERWOOD DR",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411639",
            "telephone_number": "606-877-9382",
            "fax_number": "909-877-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 SHERWOOD DR",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411639",
            "telephone_number": "606-877-9382",
            "fax_number": "909-877-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "LAURA",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "31617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64316177",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.