Active NPI
Todd R Simpson, D.O.
- Family Medicine Physician
- Springdale, AR
National Provider Identifier
1215051628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E0141
- Practice address
- 4275 S Thompson St
Suite B
Springdale, AR 72764-1006 - Phone
- (479) 308-6700
- Fax
- (479) 358-9887
- NPI assigned
- Mar 19, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E0141 | AR | Primary |
Addresses
Primary practice location
4275 S Thompson St
Suite B
Springdale, AR 72764-1006
Mailing address
4275 S Thompson St
Suite B
Springdale, AR 72764-1006
Phone (479) 308-6700
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12239 | Other | AR | QUALCHOICE |
| 207311200 | Medicaid | MO | |
| 126229003 | Medicaid | AR | |
| 2885742 | Other | DFEC | |
| 172642500 | Other | OWC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- 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
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4275 S Thompson St
Suite B
Springdale, AR 72764-1000
Phone (479) 308-6700
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0141 | AR | MD | Family Medicine Physician |
Interoperability endpoints
- abetteryou.toddsimpson@135346.advancedmd-direct.com
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.
-
- Family Medicine Physician
- Springdale, AR
- NPI 1770337230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1215051628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4275 S THOMPSON ST",
"address_2": "SUITE B",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727641006",
"telephone_number": "479-308-6700",
"fax_number": "479-358-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4275 S THOMPSON ST",
"address_2": "SUITE B",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727641006",
"telephone_number": "479-308-6700",
"fax_number": "479-358-9887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "TODD",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E0141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "12239",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207311200",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126229003",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DFEC",
"identifier": "2885742",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWC",
"identifier": "172642500",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.