Active NPI
Gregory Joseph Simmons, M.D.
- Orthopaedic Surgery Physician
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036102208
- Practice address
- 4700 Memorial Dr
Ste 340
Belleville, IL 62226-5370 - Phone
- (618) 234-9884
- Fax
- (618) 235-9020
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036102208 | IL | Primary |
Addresses
Primary practice location
4700 Memorial Dr
Ste 340
Belleville, IL 62226-5370
Mailing address
4700 Memorial Dr
Ste 340
Belleville, IL 62226-5370
Phone (618) 234-9884
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036102208 | Medicaid | IL | |
| 1194729871 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Saint Louis University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7240
1404 Cross St
Shiloh, IL 62269-2988
Phone (618) 607-3055
1418 Cross St
Suite 350
Shiloh, IL 62269-2988
Phone (618) 607-3900
4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220
4700 Memorial Dr
Belleville, IL 62226-5373
Hospital & facility affiliations
- Amedisys Home Health
- Elara Caring V
- Memorial Hospital
- Touchette Regional Hospital Inc
- SSM Health Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 11 |
| Knee replacement | 20 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036102208 | IL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory J Simmons Orthopedic Surgery LLC | Past | Accepting new patients |
Interoperability endpoints
- gsimmons170944@direct.carenet.org
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
- Belleville, IL
- NPI 1043398225
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
dba Touchette Geriatric Behavioral Health Services
- Psychiatric Hospital Unit
- Cahokia Heights, IL
- NPI 1750992459
-
- Emergency Medicine Physician
- Cahokia Heights, IL
- NPI 1922019926
Hospital
-
- General Acute Care Hospital
- Cahokia Heights, IL
- NPI 1427111046
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1194729871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 MEMORIAL DR",
"address_2": "STE 340",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265370",
"telephone_number": "618-234-9884",
"fax_number": "618-235-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 MEMORIAL DR",
"address_2": "STE 340",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265370",
"telephone_number": "618-234-9884",
"fax_number": "618-235-9020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "GREGORY",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036102208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036102208",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194729871",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4700 Memorial Dr",
"address_2": "Ste 340",
"city": "Belleville",
"state": "IL",
"country_code": "US",
"postal_code": "622265370",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.