Individual provider Active NPI

Charles Sterling Simmons, M. D.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Monroe, LA
National Provider Identifier
1518004142
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
MD.017598 Issued in LA
Practice address
309 Jackson St
Monroe, LA 71201-0309
Phone
(318) 966-1870
Fax
(318) 966-1871
NPI assigned
Jan 31, 2007
Last updated
Apr 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X MD.017598 LA Primary

Addresses

Primary practice location

309 Jackson St
Monroe, LA 71201-0309

Mailing address

2308 Hillside Rd
Ruston, LA 71270-5980
Phone (318) 966-1870

Other identifiers 4

IdentifierTypeStateIssuer
1339172MedicaidLA
00113057OtherLAOFFICE OF GROUP BENEFITS
1339174MedicaidLA
204405427OtherLATRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20060104000771 LA Practitioner - Undersea and Hyperbaric MedicinePractitioner - General PracticePractitioner - Preventive Medicine 0648293704 Reassigns benefits to 2 organizations
Practice locations: Ruston, LA

Care Compare profile

Medicare Care Compare
Specialty
Undersea and Hyperbaric MedicineAlso: General Practice
Education
Louisiana State University School of Medicine in New Orleans, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solutions Medical Consulting, LLCGroup PAC ID 6002944048, 6 clinicians
La Imaging Clinic, LLCGroup PAC ID 9234290925, 5 clinicians

Practice addresses (Care Compare)

1495 Frazier Rd
Ruston, LA 71270-1632
Phone (318) 202-3860

2209 N Bolton Ave
Alexandria, LA 71303-4408
Phone (318) 473-9917

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as individual
Quality
52.59
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
La Imaging Clinic, LLC CurrentSince Aug 15, 2016 Accepting new patients
Solutions Medical Consulting, LLC Undersea and Hyperbaric Medicine PastSince Dec 30, 2012 Accepting new patients

Locations

2209 N Bolton Ave
Alexandria, LA 71303
Phone (318) 445-4477

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1518004142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 HILLSIDE RD",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705980",
            "telephone_number": "318-966-1870",
            "fax_number": "318-966-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712010309",
            "telephone_number": "318-966-1870",
            "fax_number": "318-966-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "CHARLES",
        "middle_name": "STERLING",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "LA",
            "license": "MD.017598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1339172",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF GROUP BENEFITS",
            "identifier": "00113057",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1339174",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "204405427",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.