Individual provider Active NPI

Stephanie Michelle Sims, M.D.

  • Surgery Physician
  • Virginia Beach, VA
National Provider Identifier
1396906244
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101263400 Issued in VA
Practice address
1120 First Colonial Rd Ste 203
Virginia Beach, VA 23454-2418
Phone
(757) 481-4424
Fax
(757) 481-3820
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 46874 AZ
Surgery Physician 208600000X 2016-01667 NC
Surgery Physician 208600000X 0101263400 VA Primary

Addresses

Primary practice location

1120 First Colonial Rd Ste 203
Virginia Beach, VA 23454-2418

Mailing address

PO Box 7068
Portsmouth, VA 23707-0068
Phone (757) 481-4424

Other practice location 1

300 Medical Pkwy Ste 106
Chesapeake, VA 23320-4985
Phone (757) 410-0101

Other identifiers 2

IdentifierTypeStateIssuer
1396906244MedicaidNC
NC2890MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171115003376 VA Practitioner - General Surgery 6608013438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at San Antonio, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayview Physician Services PCGroup PAC ID 5597664201, 311 clinicians

Practice addresses (Care Compare)

1120 1St Colonial Rd
Suite 203
Virginia Beach, VA 23454-2418
Phone (757) 481-4424

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)16
Mastectomy1-10
Melanoma (skin cancer) excision54
Removal of tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46874AZMDSurgery Physician
2016-01667NCMDSurgery Physician
0101263400VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC CurrentSince Nov 1, 2017 Accepting new patients
Bayview Physician Services, PC Surgery CurrentSince Nov 1, 2017 Accepting new patients
Bayview Medical Center, Inc Past Accepting new patients

Locations

300 Medical Pkwy
Ste 106
Chesapeake, VA 23320
Phone (757) 410-0101

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

725 Volvo Pkwy
Ste 100
Chesapeake, VA 23320
Phone (757) 548-0076

612 Kingsborough Sq
Ste 200
Chesapeake, VA 23320
Phone (757) 436-0167

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

2000 Meade Pkwy
Ste 196
Suffolk, VA 23434

1168 First Colonial Rd
Ste 201
Virginia Beach, VA 23454
Phone (757) 481-1113

1120 First Colonial Rd
Ste 203
Virginia Beach, VA 23454
Phone (757) 481-4424

Interoperability endpoints

  • Direct secure messaging: stephanie.sims@bayview.eclinicaldirectplus.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 6

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1396906244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7068",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237070068",
            "telephone_number": "757-481-4424",
            "fax_number": "757-481-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 FIRST COLONIAL RD STE 203",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542418",
            "telephone_number": "757-481-4424",
            "fax_number": "757-481-3820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Medical Pkwy Ste 106",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233204985",
            "country_code": "US",
            "telephone_number": "757-410-0101",
            "fax_number": "757-481-3820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "46874",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2016-01667",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101263400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396906244",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC2890",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.