Active NPI
Jason Harold Simmonds, MD
- Pediatrics Physician
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01058963A
- Practice address
- 4935 W Arlington Rd
Bloomington, IN 47404-1187 - Phone
- (812) 353-3800
- Fax
- (812) 353-3770
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01058963A | IN | Primary |
Addresses
Primary practice location
4935 W Arlington Rd
Bloomington, IN 47404-1187
Mailing address
PO Box 1329
Bloomington, IN 47402-1329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200495120 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jsimmonds@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01058963A | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Indiana University Health Southern Indiana Physicians LLC | Current | Accepting new patients | |
| Indiana University Health Southern Indiana Physicians, LLC | Current | Accepting new patients | |
| Associated Physicians & Surgeons Clinic, LLC | Past | Accepting new patients |
Locations
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
4935 W Arlington Rd
Bloomington, IN 47404
Phone (812) 353-3743
350 S Landmark Ave
Bloomington, IN 47403
Phone (812) 332-9874
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157
Interoperability endpoints
- jsimmonds@direct.iuhealth.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Durable Medical Equipment & Medical Supplies
- Bloomington, IN
- NPI 1063179844
-
- Family Medicine Physician
- Terre Haute, IN
- NPI 1679680672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1497866420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1329",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474021329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4935 W ARLINGTON RD",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474041187",
"telephone_number": "812-353-3800",
"fax_number": "812-353-3770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONDS",
"first_name": "JASON",
"middle_name": "HAROLD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01058963A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200495120",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jsimmonds@direct.iuhealth.org",
"affiliation": "N",
"address_1": "4935 W Arlington Rd",
"city": "Bloomington",
"state": "IN",
"country_code": "US",
"postal_code": "474041187",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.