NPIMap

Individual provider Active NPI

Andrew Simmelink

  • Gastroenterology Physician
  • Charlotte, NC
National Provider Identifier
1295120061
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101272213 Issued in VA
Practice address
1350 S Kings Dr FL 3
Charlotte, NC 28207-2134
Phone
(704) 446-1242
Fax
(704) 446-1241
NPI assigned
Mar 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 0101272213 VA Primary
Internal Medicine Physician 207R00000X 209711 NC

Addresses

Primary practice location

1350 S Kings Dr FL 3
Charlotte, NC 28207-2134

Mailing address

165 Wadsworth Dr
North Chesterfield, VA 23236-4500
Phone (540) 809-6617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20210611000737 VA Practitioner - Gastroenterology 7012285208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Eastern Virginia Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Richmond Gastroenterology Associates, Inc.Group PAC ID 8426950692, 39 clinicians

Practice addresses (Care Compare)

8415 N Run Medical Dr
Mechanicsville, VA 23116-2309
Phone (804) 559-6194

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy134
Upper gastrointestinal (GI) endoscopy for acid reflux180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209711NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Gastroenterology Associates, Inc. Single Specialty CurrentSince Jul 21, 2021 Accepting new patients
Gastrointestinal Specialists LLC Single Specialty Past Accepting new patients
Infusion Solutions LLC Single Specialty Past Accepting new patients

Locations

8415 N Run Medical Dr
Mechanicsville, VA 23116
Phone (804) 559-6194

223 Wadsworth Dr
North Chesterfield, VA 23236

165 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 272-9146

261 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 895-7374

169 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 330-4201

8700 Stony Point Pkwy
Ste 100
Richmond, VA 23235
Phone (804) 775-4500

2369 Staples Mill Rd
Ste 100
Richmond, VA 23230
Phone (804) 354-8818

1600 Wilkes Ridge Dr
Ste 200
Richmond, VA 23233
Phone (804) 330-7840

2369 Staples Mill Rd
Richmond, VA 23230

1600 Wilkes Ridge Dr
Ste 100
Richmond, VA 23233
Phone (703) 563-0042

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1295120061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 WADSWORTH DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364500",
            "telephone_number": "540-809-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S KINGS DR FL 3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072134",
            "telephone_number": "704-446-1242",
            "fax_number": "704-446-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMELINK",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101272213",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "209711",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.