Individual provider Active NPI

Clifford L Simmang, MD

  • Colon & Rectal Surgery Physician
  • Dallas, TX
National Provider Identifier
1316972136
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
G4245 Issued in TX
Practice address
7777 Forest LN
Suite A321
Dallas, TX 75230-2505
Phone
(972) 661-3575
Fax
(972) 233-9120
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X G4245 TX Primary

Addresses

Primary practice location

7777 Forest LN
Suite A321
Dallas, TX 75230-2505

Mailing address

16980 Dallas Pkwy Ste 200
Dallas, TX 75248-1974
Phone (214) 343-8565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051026000156 TX Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 6305863762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
University of Texas Medical Branch at Galveston, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

1600 W College St
Suite 440
Grapevine, TX 76051-3584
Phone (817) 865-6200

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-2456

4201 Brown TRL
Suite 101
Colleyville, TX 76034-3941
Phone (682) 217-2102

7777 Forest LN
Suite A321
Dallas, TX 75230-2589
Phone (972) 661-3575

7777 Forest LN
Suite C707
Dallas, TX 75230-6861
Phone (972) 566-3000

7848 Gateway Blvd E
El Paso, TX 79915-1815
Phone (915) 599-1313

Hospital & facility affiliations

  • Encompass Home Health of DFW Home health agency, Grapevine, TX, CCN 679428
  • Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Mar 1, 2021 Accepting new patients
Texas Oncology PA CurrentSince Mar 1, 2021 Accepting new patients
Texas Oncology PA Current Accepting new patients

Locations

4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

16980 Dallas Pkwy
Ste 200
Dallas, TX 75248
Phone (214) 343-8565

7777 Forest Ln
Ste A321
Dallas, TX 75230
Phone (972) 661-3575

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

1600 W College St
Ste 440
Grapevine, TX 76051
Phone (817) 481-9480

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

4001 W 15th St
Ste 280
Plano, TX 75093
Phone (972) 985-7988

Interoperability endpoints

  • Direct secure messaging: clifford.simmang.1@421.direct.athenahealth.com

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 3

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1316972136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16980 DALLAS PKWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481974",
            "telephone_number": "214-343-8565",
            "fax_number": "214-343-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE A321",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-661-3575",
            "fax_number": "972-233-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMANG",
        "first_name": "CLIFFORD",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "G4245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.