Active NPI
Michael D Sims, M.D.
- Family Medicine Physician
- Grand Prairie, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K3008
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047165803 | Medicaid | TX | |
| 8K2771 | Other | TX | BC/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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| K3008 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Current | Accepting new patients | |
| Medhealth | Family Medicine | Current | 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
- 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.
-
dba Methodist Charlton Medical Center
- General Acute Care Hospital
- Dallas, TX
- NPI 1275592131
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.