Active NPI
Wanda J Simmons Clemmons, MD
- Adult Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- D0035674
- Practice address
- 6724 Glenkirk Rd
Baltimore, MD 21239-1410 - Phone
- (443) 900-3184
- Fax
- (410) 433-2015
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | D0035674 | MD | |
| Adult Medicine Physician | 207QA0505X | D0035674 | MD | Primary |
Addresses
Primary practice location
6724 Glenkirk Rd
Baltimore, MD 21239-1410
Mailing address
808 Gleneagles CT # 20069
Towson, MD 21286-2205
Phone (443) 900-3184
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 535071900 | Medicaid | MD | |
| D0035674 | Other | MD | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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
- State University of New York Downstate Medical Center, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6724 Glenkirk Rd
Baltimore, MD 21239-1410
Phone (845) 377-6670
Merit-based Incentive Payment System (MIPS)
- Final score
- 19.27 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 64.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0035674 | MD | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Medical Paraclete | Current | Accepting new patients | |
| Medassist NJ II | Geriatric Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891
2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048
808 Gleneagles Ct
#20069
Towson, MD 21286
747 Chestnut Ridge Rd
Ste 206
Spring Valley, NY 10977
Phone (845) 377-6670
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 4
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.
-
- Health & Wellness Coach
- Baltimore, MD
- NPI 1972311066
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1275615775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 GLENEAGLES CT # 20069",
"city": "TOWSON",
"state": "MD",
"postal_code": "212862205",
"telephone_number": "443-900-3184",
"fax_number": "512-559-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6724 GLENKIRK RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212391410",
"telephone_number": "443-900-3184",
"fax_number": "410-433-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS CLEMMONS",
"first_name": "WANDA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "MD",
"license": "D0035674",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "MD",
"license": "D0035674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "535071900",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "D0035674",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.