Individual provider Active NPI

Adam D Simmons, M.D.

  • Neurology Physician
  • Springfield, MA
National Provider Identifier
1427095058
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
225493 Issued in MA
Practice address
300 Carew St
Suite # 2
Springfield, MA 01104-2485
Phone
(413) 781-5050
Fax
(413) 781-2510
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 225493 MA Primary

Addresses

Primary practice location

300 Carew St
Suite # 2
Springfield, MA 01104-2485

Mailing address

300 Carew St
Suite # 2
Springfield, MA 01104-2485
Phone (413) 781-5050

Other identifiers 1

IdentifierTypeStateIssuer
110073902MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225493MAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Practices, Inc CurrentSince Mar 1, 2015 Accepting new patients
Springfield Neurology Associates, LLC Neurology PastSince Nov 14, 2011 Accepting new patients

Locations

300 Carew St
Ste 2
Springfield, MA 01104
Phone (413) 781-5050

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1427095058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CAREW ST",
            "address_2": "SUITE # 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042485",
            "telephone_number": "413-781-5050",
            "fax_number": "413-781-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CAREW ST",
            "address_2": "SUITE # 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042485",
            "telephone_number": "413-781-5050",
            "fax_number": "413-781-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "ADAM",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "225493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110073902",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.