Individual provider Active NPI

Chad Franklin Simmons, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Fort Myers, FL
National Provider Identifier
1316105653
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3356 Issued in FL
Practice address
5238 Mason Corbin CT
Suite 102
Fort Myers, FL 33907-7738
Phone
(239) 936-5400
Fax
(239) 936-9572
NPI assigned
May 22, 2008
Last updated
Jan 26, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3356 FL Primary

Addresses

Primary practice location

5238 Mason Corbin CT
Suite 102
Fort Myers, FL 33907-7738

Mailing address

5238 Mason Corbin CT
Suite 102
Fort Myers, FL 33907-7738
Phone (239) 936-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130913000749 CO Practitioner - Podiatry 3971654997 Reassigns benefits to 1 organization
I20201117000594 TX Practitioner - Podiatry 3971654997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Foot and Ankle Center PCGroup PAC ID 2769626639, 2 clinicians

Practice addresses (Care Compare)

9898 Rosemont Ave
Suite 103
Lone Tree, CO 80124-4107
Phone (239) 278-1155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Elite Foot & Ankle Center PC Foot & Ankle Surgery CurrentSince May 1, 2013 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Oct 27, 2020 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Oct 27, 2020 Accepting new patients
Foot & Ankle Group of Southwest Florida, PA Foot & Ankle Surgery PastSince May 11, 2000 Accepting new patients

Locations

4950 S Yosemite St
#F2242
Greenwood Village, CO 80111
Phone (303) 808-6282

9898 Rosemont Ave
Ste 103
Lone Tree, CO 80124
Phone (303) 798-4404

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1316105653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5238 MASON CORBIN CT",
            "address_2": "SUITE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077738",
            "telephone_number": "239-936-5400",
            "fax_number": "239-936-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5238 MASON CORBIN CT",
            "address_2": "SUITE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077738",
            "telephone_number": "239-936-5400",
            "fax_number": "239-936-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "CHAD",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.