NPIMap

Organization Active NPI

Stephen M. Sims, MD, PA

  • Pain Medicine Physician
  • Huntsville, TX
National Provider Identifier
1235148172
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
STEPHEN M. SIMS, MD, PA
Practice address
133 Medical Park LN
Ste B
Huntsville, TX 77340-4979
Phone
(936) 730-8833
Fax
(936) 730-8866
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
Stephen M Sims, M.D.NPI 1083623136
Title
Owner
Phone
(936) 730-8833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

133 Medical Park LN
Ste B
Huntsville, TX 77340-4979

Mailing address

PO Box 621004
Dallas, TX 75262-1004
Phone (936) 756-3444

Other identifiers 1

IdentifierTypeStateIssuer
155357001MedicaidTX

Other names 1

  • North Lakes Pain Consultants Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070409000567 TX Part B Supplier - Clinic/Group Practice 3476655499 Receives reassigned benefits from 5 practitioners
Practice locations: Conroe, TX; Huntsville, TX
O20170817002448 TX DME Supplier - Physician - Interventional Pain Management 3476655499 Practice locations: Huntsville, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2007010North Lakes Pain Consultants133 Medical Park LN Ste B, Huntsville, TX 77340Certificate of waiverMay 4, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1235148172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621004",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752621004",
            "telephone_number": "936-756-3444",
            "fax_number": "936-756-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 MEDICAL PARK LN",
            "address_2": "STE B",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404979",
            "telephone_number": "936-730-8833",
            "fax_number": "936-730-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M. SIMS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-730-8833",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155357001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Lakes Pain Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Lakes Pain Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.