Active NPI
Martha Ayre Simmons, MD
- Family Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD453911
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103023979 | Medicaid | PA |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0012585 | DE | MD | Family Medicine Physician |
| 280037-1 | NY | MD | Family Medicine Physician |
| MD453911 | PA | MD | Family Medicine Physician |
| MT202350 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Community Health Associates, Inc | Current | Accepting new patients | |
| Einstein Community Health Associates, Inc | Family Medicine | Current | Accepting new patients |
| Planned Parenthood of Delaware | Past | 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
- 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.
-
- Family Medicine Physician
- Phila, PA
- NPI 1558316109
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1427662931
-
- General Acute Care Hospital
- Phila, PA
- NPI 1902805245
-
- Health Maintenance Organization
- West Islip, NY
- NPI 1588729560
-
- Pharmacy Technician
- Wilmington, DE
- NPI 1417019597
-
- Ambulatory Family Planning Facility
- Ithaca, NY
- NPI 1881761484
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.