Individual provider Active NPI

Jodi S. Simkins, MD

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1518956887
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0049159 Issued in FL
Practice address
7100 W Camino Real
Suite 207
Boca Raton, FL 33433-5510
Phone
(561) 391-2770
Fax
(561) 391-2930
NPI assigned
Oct 19, 2005
Last updated
Jun 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0049159 FL Primary
General Practice Physician 208D00000X ME49159 FL

Addresses

Primary practice location

7100 W Camino Real
Suite 207
Boca Raton, FL 33433-5510

Mailing address

7100 W Camino Real
Suite 207
Boca Raton, FL 33433-5510
Phone (561) 391-2770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050812000262 FL Practitioner - Internal Medicine 6406885193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revamed Healthcare Partners LLCGroup PAC ID 5395078323, 8 clinicians

Practice addresses (Care Compare)

6056 Boynton Beach Blvd
Suite 115
Boynton Beach, FL 33437-3500
Phone (561) 708-1760

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0049159FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Revamed Healthcare Partners LLC Internal Medicine CurrentSince Oct 14, 2019 Accepting new patients
Columbia Primary Care LLC Internal Medicine Past Accepting new patients
DRS. Labi & Brady, PA Past Accepting new patients

Locations

7000 W Palmetto Park Rd
Ste 201
Boca Raton, FL 33433
Phone (561) 270-2280

7100 Camino Real
Ste 207
Boca Raton, FL 33433
Phone (561) 391-2770

6056 W Boynton Beach Blvd
Ste 115
Boynton Beach, FL 33437
Phone (561) 708-1760

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11640/brand/10/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1518956887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W CAMINO REAL",
            "address_2": "SUITE 207",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335510",
            "telephone_number": "561-391-2770",
            "fax_number": "561-391-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W CAMINO REAL",
            "address_2": "SUITE 207",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335510",
            "telephone_number": "561-391-2770",
            "fax_number": "561-391-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMKINS",
        "first_name": "JODI",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0049159",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME49159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.