Kermit O Simrel Jr.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0040023 Issued in MD

Practice address

9015 Woodyard Rd
Suite 111
Clinton, MD 20735-4209

Phone

(301) 599-0900

Fax

(301) 599-7828

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Children'S Pediatricians & Associates, LLC

  • Pediatrics Physician
  • Silver Spring, MD
  • NPI 1396932687
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1497829592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 NAYLOR RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207256",
            "telephone_number": "202-582-6822",
            "fax_number": "202-584-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 WOODYARD RD",
            "address_2": "SUITE 111",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354209",
            "telephone_number": "301-599-0900",
            "fax_number": "301-599-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMREL",
        "first_name": "KERMIT",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0040023",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD10045",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185161600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115143700",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheridan Anesthesia Services of Maryland PC
• Arpit Sheth, P.T.
• Sophie Rachael Shpritz, PA-C
• Cathy Darlene Shrader, MD
• Cosmas Sibindi, MD
• Shelby Quarles Sims, LMSW
• Carolyn Schechter Singh, PA
• Mridula Singh, M.D.
• Paul N Singh, DMD
• Sisimi Medic Inc

• Pediatrics Physician in Clinton, MD
• Providers in Clinton, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.