Individual provider Active NPI

Jennifer Sim, MD

  • Ophthalmology Physician
  • Fort Washington, PA
National Provider Identifier
1306340815
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD486192 Issued in PA
Practice address
1244 Fort Washington Ave Ste E1
Fort Washington, PA 19034-1743
Phone
(215) 643-2730
Fax
(215) 643-6677
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D94298 MD
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X MD486192 PA Primary

Addresses

Primary practice location

1244 Fort Washington Ave Ste E1
Fort Washington, PA 19034-1743

Mailing address

1244 Fort Washington Ave Ste E1
Fort Washington, PA 19034-1743
Phone (215) 643-2730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220713002095 MD Practitioner - Ophthalmology 6800142035 Reassigns benefits to 1 organization
I20240715002469 PA Practitioner - Ophthalmology 6800142035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Eastern Virginia Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Associates of Fort WashingtonGroup PAC ID 1153396973, 2 clinicians

Practice addresses (Care Compare)

1244 Ft Wshngtn Ave
Suite E
Ft Washington, PA 19034-1743
Phone (215) 643-2730

Merit-based Incentive Payment System (MIPS)

Final score
78.31 of 100Reported as group
Quality
56.34
Promoting interoperability
98
Improvement activities
40
Cost
73.04

Merit-based Incentive Payment System (MIPS)

Final score
93.47 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
79.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D94298MDMDOphthalmology Physician
MD486192PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Associates of Fort Washington Ophthalmology CurrentSince Aug 28, 2024 Accepting new patients
Cec Surgical Services, LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

105 Pine Bluff Rd
Ste 3
Salisbury, MD 21801

1414 S Salisbury Blvd
Salisbury, MD 21801
Phone (410) 749-1191

1244 Fort Washington Ave
Ste E1
Fort Washington, PA 19034
Phone (215) 643-2730

1244 Fort Washington Ave
Ste E
Ft Washington, PA 19034
Phone (215) 643-2730

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1306340815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 FORT WASHINGTON AVE STE E1",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190341743",
            "telephone_number": "215-643-2730",
            "fax_number": "215-643-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 FORT WASHINGTON AVE STE E1",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190341743",
            "telephone_number": "215-643-2730",
            "fax_number": "215-643-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIM",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D94298",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD486192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

Verify at the official NPI Registry.