Individual provider Active NPI

Michael D Sims, M.D.

  • Family Medicine Physician
  • Grand Prairie, TX
National Provider Identifier
1336114313
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K3008 Issued in TX
Practice address
4560 Lake Ridge Parkway
Suite 200
Grand Prairie, TX 75052
Phone
(972) 263-5272
Fax
(972) 263-3488
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K3008 TX Primary

Addresses

Primary practice location

4560 Lake Ridge Parkway
Suite 200
Grand Prairie, TX 75052

Mailing address

3400 W Wheatland Rd
Pav III Ste#360
Dallas, TX 75237-4418
Phone (214) 884-4700

Other practice location 1

4116 S Carrier Pkwy
Ste #250
Grand Prairie, TX 75052-3200
Phone (972) 263-5272

Other identifiers 2

IdentifierTypeStateIssuer
047165803MedicaidTX
8K2771OtherTXBC/BS

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
I20040609001431 TX Practitioner - Family Practice 5294718342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Baylor College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

3000 Blackburn St
Suite 130
Dallas, TX 75204-2217
Phone (214) 599-8624

5224 S State Hwy 360
Grand Prairie, TX 75052-0950
Phone (972) 522-0691

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3008TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Jul 1, 2003 Accepting new patients
Medhealth Family Medicine CurrentSince Jul 1, 2003 Accepting new patients

Locations

3400 W Wheatland Rd
Ste 360
Dallas, TX 75237

4560 Lake Ridge Pkwy
Ste 200
Grand Prairie, TX 75052
Phone (972) 263-5272

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

4116 S Carrier Pkwy
Ste 250
Grand Prairie, TX 75052
Phone (972) 263-5272

Interoperability endpoints

  • Direct secure messaging: msims29758@dm.mhd.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1336114313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W WHEATLAND RD",
            "address_2": "PAV III STE#360",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752374418",
            "telephone_number": "214-884-4700",
            "fax_number": "214-884-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 LAKE RIDGE PARKWAY",
            "address_2": "SUITE 200",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75052",
            "telephone_number": "972-263-5272",
            "fax_number": "972-263-3488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4116 S Carrier Pkwy",
            "address_2": "Ste #250",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750523200",
            "country_code": "US",
            "telephone_number": "972-263-5272",
            "fax_number": "972-263-3486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047165803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8K2771",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.