Active NPI
Justin Brett Sims, M.D.
- Diagnostic Radiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01072175A
- Practice address
- 714 N Senate Ave
Ste 100
Indianapolis, IN 46202-3763 - Phone
- (317) 715-6381
- Fax
- (317) 715-6472
- NPI assigned
- Jun 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 11013779A | IN | |
| Diagnostic Radiology Physician | 2085R0202X | 01072175A | IN | Primary |
Addresses
Primary practice location
714 N Senate Ave
Ste 100
Indianapolis, IN 46202-3763
Mailing address
1120 South Drive
Fesler Hall
Indianapolis, IN 46202-5114
Phone (317) 274-8282
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01240963 | Other | IN | RAILROAD MEDICARE |
| 201106880 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Nuclear Medicine
- Education
- University of Alabama School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Maple Leaf Blvd
Nashville, IN 47448-7603
Phone (812) 988-3903
1000 S Main St
Tipton, IN 46072-9753
Phone (765) 675-8538
10212 Lantern Rd
Fishers, IN 46037-9705
Phone (317) 841-5656
1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 963-0166
11725 N Illinois St
Suite 275
Carmel, IN 46032-4656
Phone (317) 817-1114
13000 E 136TH St
Fishers, IN 46037-9478
Phone (317) 678-1700
1302 S Rogers St
Bloomington, IN 47403-4752
Phone (812) 353-2108
1520 S Liberty Dr
Bloomington, IN 47403-5167
Phone (812) 676-4345
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
201 Pennsylvania Pkwy
Carmel, IN 46280-2301
Phone (317) 944-9400
2209 John R Wooden Dr
Morgan Hospital
Martinsville, IN 46151-1840
Phone (765) 349-6513
2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-4274
2598 W White River Blvd
The Imaging Center
Muncie, IN 47303-5251
Phone (765) 282-7595
2605 E Creeks Edge Dr
Bloomington, IN 47401-8368
Phone (812) 333-1933
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9356
2701 W N St
Muncie, IN 47303-3415
Phone (765) 747-3971
2705 W N St
Muncie, IN 47303-3415
Phone (765) 747-3971
2900 16TH St
Bedford, IN 47421-3510
Phone (812) 275-1367
355 W 16TH St
Indianapolis, IN 46202-2207
Phone (317) 963-1300
416 E Maumee St
Angola, IN 46703-2015
Phone (260) 667-5548
4935 W Arlington Rd
Bloomington, IN 47404-1187
Phone (812) 353-7856
500 S Landmark Ave
Bloomington, IN 47403-3239
Phone (812) 333-7676
500 W Votaw St
Portland, IN 47371-1322
Phone (260) 726-1821
550 N University Blvd Room
Suite 0663
Indianapolis, IN 46202-5149
550 S Landmark Ave
Bloomington, IN 47403-3239
Phone (812) 353-2108
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2645 | TN | MD | Mental Health Counselor |
| 01072175A | IN | MD | Diagnostic Radiology Physician |
| 11013779A | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Diagnostics, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University Diagnostics, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University Diagnostics, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Indiana University Radiology Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
5924 Reliable Pkwy
Chicago, IL 60686
256 E Pettit Ave
Fort Wayne, IN 46806
1130 W Michigan St
Indianapolis, IN 46202
Phone (317) 274-0076
714 N Senate Ave
Ste 100
Indianapolis, IN 46202
Phone (317) 715-6402
355 W 16th St
Indianapolis, IN 46202
Phone (317) 963-7070
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000
1000 S Main St
Tipton, IN 46072
Phone (765) 675-8500
Interoperability endpoints
- jsims4@direct.iuhealth.org
- jsims15487@direct.eskenazihealth.edu
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Radiology Clinic/Center
- Knoxville, TN
- NPI 1205588308
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1417698275
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1427785047
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Avon, IN
- NPI 1063443455
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1568407310
-
- Methadone Clinic
- Indianapolis, IN
- NPI 1760922249
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1245499706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 SOUTH DRIVE",
"address_2": "FESLER HALL",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025114",
"telephone_number": "317-274-8282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 N SENATE AVE",
"address_2": "STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023763",
"telephone_number": "317-715-6381",
"fax_number": "317-715-6472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "JUSTIN",
"middle_name": "BRETT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-09",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "11013779A",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01072175A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01240963",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201106880",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.