Active NPI
Sean Simmons, M.D.
- Interventional Pain Medicine Physician
- Bethesda, MD
National Provider Identifier
1386024222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 0101261129
- Practice address
- Walter Reed National Military Medical Center
8901 Rockville Pike
Bethesda, MD 20814 - Phone
- (301) 295-5314
- Fax
- (301) 295-8716
- NPI assigned
- Jun 5, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0116028053 | VA | |
| Interventional Pain Medicine Physician | 208VP0014X | 0101261129 | VA | Primary |
Addresses
Primary practice location
Walter Reed National Military Medical Center
8901 Rockville Pike
Bethesda, MD 20814
Mailing address
Walter Reed National Military Medical Center
8901 Rockville Pike
Bethesda, MD 20814
Phone (301) 295-5314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0116028053 | Other | VA | VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230824003100 | VA | Order and Referring Only - Pain Management | 2062875958 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116028053 | VA | MD | Family Medicine Physician |
| 0101261129 | VA | MD | Interventional Pain Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1386024222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WALTER REED NATIONAL MILITARY MEDICAL CENTER",
"address_2": "8901 ROCKVILLE PIKE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20814",
"telephone_number": "301-295-5314",
"fax_number": "301-295-8716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALTER REED NATIONAL MILITARY MEDICAL CENTER",
"address_2": "8901 ROCKVILLE PIKE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20814",
"telephone_number": "301-295-5314",
"fax_number": "301-295-8716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "SEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-05",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0116028053",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "VA",
"license": "0101261129",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS",
"identifier": "0116028053",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.