Individual provider Active NPI

Jerald Howard Simmons, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Houston, TX
National Provider Identifier
1417045329
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
K7614 Issued in TX
Practice address
2201 W Holcombe Blvd
Ste 325
Houston, TX 77030-2096
Phone
(713) 668-4100
Fax
(713) 668-4105
NPI assigned
Oct 10, 2006
Last updated
Aug 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X K7614 TX
Clinical Neurophysiology Physician 2084N0600X K7614 TX
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X K7614 TX Primary

Addresses

Primary practice location

2201 W Holcombe Blvd
Ste 325
Houston, TX 77030-2096

Mailing address

PO Box 16820
Sugar Land, TX 77496-6820
Phone (281) 240-3773

Other identifiers 1

IdentifierTypeStateIssuer
047090801MedicaidTX

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
I20090324000411 TX Practitioner - NeurologyPractitioner - Other (Physician)Practitioner - Sleep Medicine 0345281945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Ohio State University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Sleep Medicine Associates, PAGroup PAC ID 1052404050, 10 clinicians

Practice addresses (Care Compare)

2201 W Holcombe Blvd
Suite 330
Houston, TX 77030-2030
Phone (713) 668-4100

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37967TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Sleep Medicine Associates, PA Neurology CurrentSince Jul 1, 2006 Accepting new patients
Sadler Clinic Association Past Accepting new patients
Oliver Street 5.01(a) Inc. Past Accepting new patients
Rest Diagnostics, Limited Liability Company Past Accepting new patients

Locations

8229 Shoal Creek Blvd
Ste 101
Austin, TX 78757
Phone (512) 371-7400

2201 W Holcombe Blvd
Ste 325
Houston, TX 77030
Phone (281) 240-3773

2201 W Holcombe Blvd
Ste 330
Houston, TX 77030
Phone (713) 668-4100

15423 Creek Bend Dr
Sugar Land, TX 77478
Phone (281) 240-3773

3200 Research Forest Dr
Ste A4
The Woodlands, TX 77381
Phone (281) 297-6305

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1417045329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16820",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774966820",
            "telephone_number": "281-240-3773",
            "fax_number": "281-239-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W HOLCOMBE BLVD",
            "address_2": "STE 325",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302096",
            "telephone_number": "713-668-4100",
            "fax_number": "713-668-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JERALD",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "K7614",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "K7614",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "TX",
            "license": "K7614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047090801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.