NPIMap

Individual provider Active NPI

Charles Sims, MD

  • Infectious Disease Physician
  • Shenandoah, TX
National Provider Identifier
1245281294
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
M3390 Issued in TX
Practice address
101 Vision Park Blvd
Suite 100
Shenandoah, TX 77384-3011
Phone
(281) 273-5214
Fax
(936) 273-5926
NPI assigned
May 15, 2006
Last updated
Jan 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X M3390 TX Primary

Addresses

Primary practice location

101 Vision Park Blvd
Suite 100
Shenandoah, TX 77384-3011

Mailing address

6 Storm Mist PL
The Woodlands, TX 77381-6646
Phone (936) 321-6175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060627000321 TX Practitioner - Infectious DiseasePractitioner - Internal Medicine 7113939604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of Texas Medical School at Houston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor St. Luke's Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

101 Vision Park Blvd
Shenandoah, TX 77384-3011
Phone (936) 273-5214

17198 St Lukes Way
Suite 440
The Woodlands, TX 77384-8015
Phone (936) 266-2500

17200 St Luke's Way
The Woodlands, TX 77384-8007
Phone (936) 266-2000

17350 St Lukes Way
Suite 400
The Woodlands, TX 77384-4167
Phone (281) 444-3278

17400 St Luke's Way
The Woodlands, TX 77384-8036
Phone (932) 266-9000

20207 Chasewood Park Dr
Houston, TX 77070-1442

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charles R. Sims, MD PA Infectious Disease CurrentSince Feb 2, 2006 Accepting new patients
Baylor St. Luke's Medical Group CurrentSince Nov 1, 2017 Accepting new patients
St. Luke's Community Health Services Past Accepting new patients

Locations

100 Medical Center Blvd
Ste 212
Conroe, TX 77304
Phone (281) 363-4944

20207 Chasewood Park Dr
Ste 300
Houston, TX 77070
Phone (832) 534-7800

6624 Fannin St
Ste 1240
Houston, TX 77030
Phone (832) 355-5575

22710 Professional Dr
Kingwood, TX 77339
Phone (281) 298-2847

120 Flag Lake Dr
Ste 1
Lake Jackson, TX 77566
Phone (979) 299-6900

101 Vision Park Blvd
Ste 100
Shenandoah, TX 77384
Phone (936) 266-3513

9201 Pinecroft Dr
Ste 230
Shenandoah, TX 77380
Phone (281) 419-3820

9201 Pinecroft Dr
Ste 295
Shenandoah, TX 77380

17198 St Lukes Way
Ste 250
The Woodlands, TX 77384
Phone (936) 266-4350

17198 St Lukes Way
Ste 440
The Woodlands, TX 77384
Phone (936) 266-2500

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1245281294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 STORM MIST PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773816646",
            "telephone_number": "936-321-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 VISION PARK BLVD",
            "address_2": "SUITE 100",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843011",
            "telephone_number": "281-273-5214",
            "fax_number": "936-273-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "M3390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.