Individual provider Active NPI

Michael Homer Simpson, MD

  • Dermatology Physician
  • El Paso, TX
National Provider Identifier
1497783849
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D1052 Issued in TX
Practice address
1700 Murchison Dr
Suite 215
El Paso, TX 79902-2931
Phone
(915) 544-3254
Fax
(915) 544-1203
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D1052 TX Primary

Addresses

Primary practice location

1700 Murchison Dr
Suite 215
El Paso, TX 79902-2931

Mailing address

1700 Murchison Dr
Suite 215
El Paso, TX 79902-2931
Phone (915) 544-3254

Other identifiers 1

IdentifierTypeStateIssuer
034117401MedicaidTX

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
I20090923000750 TX Practitioner - Dermatology 2163578782 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael H. Simpson, M.D., P.a. Specialist CurrentSince Jun 28, 2009 Accepting new patients

Locations

1700 Murchison Dr
Ste 215
El Paso, TX 79902
Phone (915) 544-3254

Organizations & group practices 1

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1497783849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MURCHISON DR",
            "address_2": "SUITE 215",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022931",
            "telephone_number": "915-544-3254",
            "fax_number": "915-544-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MURCHISON DR",
            "address_2": "SUITE 215",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022931",
            "telephone_number": "915-544-3254",
            "fax_number": "915-544-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "MICHAEL",
        "middle_name": "HOMER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "D1052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034117401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.