Active NPI
Stephen M. Sims, MD, PA
- Interventional Pain Medicine Physician
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- STEPHEN M. SIMS, MD, PA
- Practice address
- 1020 Riverwood CT Ste 200
Conroe, TX 77304-2974 - Phone
- (936) 756-3444
- Fax
- (936) 756-3452
- NPI assigned
- Jul 5, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Starr Jones
- Title
- Business Office Manager
- Phone
- (936) 756-3464
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
1020 Riverwood CT Ste 200
Conroe, TX 77304-2974
Mailing address
PO Box 621004
Dallas, TX 75262-1004
Phone (936) 756-3464
Other practice location 1
17189 I 45 S Ste 265
Shenandoah, TX 77385-3323
Phone (936) 647-1469
Other practice location 2
133 Medical Park Ln Ste B
Huntsville, TX 77340-4979
Phone (936) 730-8833
Other names 1
- North Lakes Pain Consultants
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170817003249 | TX | DME Supplier - Physician - Interventional Pain Management | 3476655499 | Practice locations: Conroe, TX |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2009330 | North Lakes Pain Consultants | Accreditation | Mar 11, 2028 |
| 45D2124113 | North Lakes Pain Consultants | Certificate of waiver | Jan 9, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Conroe, TX
- NPI 1306295332
-
- Physician Assistant
- Conroe, TX
- NPI 1336724947
-
- Pain Medicine Physician
- Huntsville, TX
- NPI 1174535033
-
- Pain Medicine Physician
- Huntsville, TX
- NPI 1083623136
-
- Pain Medicine Physician
- Huntsville, TX
- NPI 1922069186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1316468952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 621004",
"city": "DALLAS",
"state": "TX",
"postal_code": "752621004",
"telephone_number": "936-756-3464",
"fax_number": "936-703-5191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 RIVERWOOD CT STE 200",
"city": "CONROE",
"state": "TX",
"postal_code": "773042974",
"telephone_number": "936-756-3444",
"fax_number": "936-756-3452"
}
],
"practiceLocations": [
{
"address_1": "17189 I 45 S Ste 265",
"address_purpose": "LOCATION",
"city": "Shenandoah",
"state": "TX",
"postal_code": "773853323",
"country_code": "US",
"telephone_number": "936-647-1469",
"fax_number": "936-242-1274",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "133 Medical Park Ln Ste B",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "TX",
"postal_code": "773404979",
"country_code": "US",
"telephone_number": "936-730-8833",
"fax_number": "936-730-8866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "STEPHEN M. SIMS, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-05",
"last_updated": "2022-07-21",
"certification_date": "2019-12-11",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "STARR",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "936-756-3464"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "North Lakes Pain Consultants",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.