Michael D Simison, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

37768 Issued in IA

Practice address

4005 Wilson Ave SW
Cedar Rapids, IA 52404-6340

Phone

(319) 826-3994

Fax

(319) 826-3996

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 21, 2015 through Aug 21, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Corridor Health Care, Inc.

  • Psychiatry Physician
  • Cedar Rapids, IA
  • NPI 1205100674
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1366651150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 WILSON AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524046340",
            "telephone_number": "319-826-3994",
            "fax_number": "319-826-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 WILSON AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524046340",
            "telephone_number": "319-826-3994",
            "fax_number": "319-826-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMISON",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "37768",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "37768",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "IA",
            "license": "37768",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "074570002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Sieverding
• Edgar J Siguenza, LISW
• Christine Marie Sigwarth, L.M.H.C.
• Melinda Silver, ARNP
• Treesa A Silver, ARNP, CNM
• Jen M Simmen
• Keith Simmonds
• Jesse M Simmons, TCDAC
• John M Simmons
• Keile Wahle Simoens, DO

• Psychiatry Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Psychiatry Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.