Individual provider Active NPI

Martha Ayre Simmons, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1548522626
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD453911 Issued in PA
Practice address
5201 Old York Rd Ste 311
Philadelphia, PA 19141-2987
Phone
(215) 394-4195
Fax
(215) 457-4261
NPI assigned
Jun 13, 2012
Last updated
Jun 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD453922 PA
Family Medicine Physician 207Q00000X 280037-1 NY
Family Medicine Physician 207Q00000X MT202350 PA
Family Medicine Physician 207Q00000X C1-0012585 DE
Family Medicine Physician 207Q00000X MD453911 PA Primary

Addresses

Primary practice location

5201 Old York Rd Ste 311
Philadelphia, PA 19141-2987

Mailing address

101 E Olney Ave Ste 400
Philadelphia, PA 19120-2470
Phone (215) 456-1825

Other practice location 1

1824 Madison Ave
New York, NY 10035-3832
Phone (212) 423-4500

Other practice location 2

805 S Governors Ave
Dover, DE 19904-4158
Phone (302) 678-5200

Other practice location 3

140 E Delaware Ave
Newark, DE 19711-4649
Phone (302) 731-7801

Other practice location 4

625 N Shipley St
Wilmington, DE 19801
Phone (302) 655-7296

Other identifiers 1

IdentifierTypeStateIssuer
103023979MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150706001726 PA Practitioner - Family Practice 9931411964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tufts University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5401 Old York Rd
Suite 331
Philadelphia, PA 19141-3045
Phone (215) 456-8220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0012585DEMDFamily Medicine Physician
280037-1NYMDFamily Medicine Physician
MD453911PAMDFamily Medicine Physician
MT202350PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Community Health Associates, Inc CurrentSince Jan 1, 2022 Accepting new patients
Einstein Community Health Associates, Inc Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Planned Parenthood of Delaware PastSince Jul 4, 2018 Accepting new patients
Planned Parenthood HP Past Accepting new patients
Planned Parenthood of the Southern Finger Lakes Inc. Past Accepting new patients
Albert Einstein Medical Center Past Accepting new patients

Locations

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

5201 Old York Rd
Ste 311
Philadelphia, PA 19141
Phone (215) 394-4195

5401 Old York Rd
Ste 331
Philadelphia, PA 19141
Phone (215) 456-6948

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1548522626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE STE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202470",
            "telephone_number": "215-456-1825",
            "fax_number": "215-456-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 OLD YORK RD STE 311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412987",
            "telephone_number": "215-394-4195",
            "fax_number": "215-457-4261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1824 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100353832",
            "country_code": "US",
            "telephone_number": "212-423-4500",
            "fax_number": "212-423-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 S Governors Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199044158",
            "country_code": "US",
            "telephone_number": "302-678-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 E Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197114649",
            "country_code": "US",
            "telephone_number": "302-731-7801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 N Shipley St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "19801",
            "country_code": "US",
            "telephone_number": "302-655-7296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "MARTHA",
        "middle_name": "AYRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD453922",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "280037-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT202350",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0012585",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD453911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103023979",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.