Individual provider Active NPI

Meesun Rachel Sim, M.D.

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1205018926
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N6026 Issued in TX
Practice address
6309 Preston Rd Ste 1400
Plano, TX 75024-2740
Phone
(469) 443-0719
Fax
(469) 443-0569
NPI assigned
Dec 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 231591 HI
Internal Medicine Physician 207R00000X N6026 TX Primary

Addresses

Primary practice location

6309 Preston Rd Ste 1400
Plano, TX 75024-2740

Mailing address

6309 Preston Rd Ste 1400
Plano, TX 75024-2740
Phone (469) 443-0719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110103000990 TX Practitioner - Internal Medicine 1658443445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6309 Preston Rd
Suite 1400
Plano, TX 75024-2740
Phone (469) 443-0719

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231591HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rachel Sim MD PA Internal Medicine CurrentSince Sep 7, 2012 Accepting new patients

Locations

1220 Coit Rd
Ste 105
Plano, TX 75075
Phone (972) 889-8888

6309 Preston Rd
Ste 1400
Plano, TX 75024
Phone (469) 443-0719

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEBADD/Endpoint/AEBADD

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1205018926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 PRESTON RD STE 1400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242740",
            "telephone_number": "469-443-0719",
            "fax_number": "469-443-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 PRESTON RD STE 1400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242740",
            "telephone_number": "469-443-0719",
            "fax_number": "469-443-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIM",
        "first_name": "MEESUN",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "231591",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N6026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.