Quentin Bernard Simmons

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4351048114 Issued in MI

Practice address

22250 Providence Dr Ste 557
Southfield, MI 48075-6213

Phone

(248) 849-3447

NPI assigned

May 3, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Family Practice

Education

Michigan State University College of Human Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Iha Olma Primary Care Risk LLCGroup PAC ID 1153733324, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health at Home- Southeast Michigan Home health agency, Livonia, MI, CCN 237069
• St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
• Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: qsimmons3492465@direct.trinity-health.org
• Direct secure messaging: quentin.simmons.1@19270.direct.athenahealth.com

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.

• Iha Olma Primary Care Risk LLC

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1578162319
  Medicare reassignment Care Compare group NPD
• Iha Olma Primary Care Risk LLC

  • Primary Care Clinic/Center
  • Livonia, MI
  • NPI 1255802559

  Family Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Joseph Mercy Hospital

  • General Acute Care Hospital
  • Ypsilanti, MI
  • NPI 1780658443
  Care Compare affiliation
• St Mary Mercy Hospital

  • General Acute Care Hospital
  • Livonia, MI
  • NPI 1790706901
  Care Compare affiliation
• Trinity Home Health Services

  • Home Health Agency
  • Livonia, MI
  • NPI 1508823774
  Care Compare affiliation

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1508449083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR STE 557",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR STE 557",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756213",
            "telephone_number": "248-849-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "QUENTIN",
        "middle_name": "BERNARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4351048114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Silveus
• Eugene Simman, M.D.
• David Eugene Simmons, LMSW
• Milton Foss Simmons, M.D.
• Monica Simmons
• Lisa Marie Simon
• Serica Simon
• Thomas Simon
• Simple Harvest PLLC
• Simply Beautiful Home Care LLC

• Family Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.