Organization Active NPI

Stephen M. Sims, MD, PA

  • Interventional Pain Medicine Physician
  • Conroe, TX
National Provider Identifier
1316468952
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2009330North Lakes Pain Consultants1020 Riverwood Court Ste 105, Conroe, TX 77304AccreditationMar 11, 2028
45D2124113North Lakes Pain Consultants1020 Riverwood Court Suite 200, Conroe, TX 77304Certificate of waiverJan 9, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.