Individual provider Active NPI

Robert I Simpson, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Salt Lake City, UT
National Provider Identifier
1609973684
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
3106175-1205 Issued in UT
Practice address
1133 E Gilmer Dr
Salt Lake City, UT 84105-1534
Phone
(801) 518-8466
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 3106175-1205 UT
Addiction Medicine (Internal Medicine) Physician 207RA0401X 3106175-1205 UT Primary

Addresses

Primary practice location

1133 E Gilmer Dr
Salt Lake City, UT 84105-1534

Mailing address

1133 E Gilmer Dr
Salt Lake City, UT 84105-1534
Phone (801) 518-8466

Other practice location 1

619 N 500 W
Provo, UT 84601-1547
Phone (801) 852-9440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20161215002278 UT Practitioner - Addiction MedicinePractitioner - Internal Medicine 8022918317 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Peak ENT Associates CurrentSince Nov 1, 2016 Accepting new patients
Heart and Lung Institute of Utah Inc Critical Care Medicine Past Accepting new patients

Locations

1055 N 300 W
Ste 401
Provo, UT 84604
Phone (801) 375-4646

619 N 500 W
Provo, UT 84601
Phone (801) 420-0465

Interoperability endpoints

  • Direct secure messaging: robert.simpson@10740.chartlogic.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1609973684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 E GILMER DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841051534",
            "telephone_number": "801-518-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 E GILMER DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841051534",
            "telephone_number": "801-518-8466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 N 500 W",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846011547",
            "country_code": "US",
            "telephone_number": "801-852-9440",
            "fax_number": "801-852-9449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "ROBERT",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "UT",
            "license": "3106175-1205",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "UT",
            "license": "3106175-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.