Individual provider Active NPI

Martha Sims, MD

  • Contractor
  • Glendale, AZ
National Provider Identifier
1194982074
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
36163 Issued in AZ
Practice address
5830 W Thunderbird Rd
Suite B8 1012
Glendale, AZ 85306
Phone
(480) 788-8011
Fax
(866) 233-9018
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 36163 AZ Primary

Addresses

Primary practice location

5830 W Thunderbird Rd
Suite B8 1012
Glendale, AZ 85306

Mailing address

5830 W Thunderbird Rd
Suite B8 1012
Glendale, AZ 85306-4655
Phone (480) 788-8011

Other practice location 1

4110 N 108th Ave Ste 102
Phoenix, AZ 85037-5772
Phone (623) 218-0780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenician Medical Center, Inc Family Medicine Past Accepting new patients
Arizona Heart Specialists PLLC Past Accepting new patients
West Valley Urgent Care Past Accepting new patients

Organizations & group practices 3

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1194982074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 W THUNDERBIRD RD",
            "address_2": "SUITE B8 1012",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064655",
            "telephone_number": "480-788-8011",
            "fax_number": "866-233-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 W THUNDERBIRD RD",
            "address_2": "SUITE B8 1012",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85306",
            "telephone_number": "480-788-8011",
            "fax_number": "866-233-9018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4110 N 108th Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850375772",
            "country_code": "US",
            "telephone_number": "623-218-0780",
            "fax_number": "623-218-0786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "MARTHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AZ",
            "license": "36163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.