Individual provider Active NPI

Anita T Simison, M.D.

  • Family Medicine Physician
  • Coralville, IA
National Provider Identifier
1629036546
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-36342 Issued in IA
Practice address
920 E 2ND Ave Ste 201a&B
Coralville, IA 52241-2219
Phone
(319) 467-2000
NPI assigned
May 2, 2006
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD-36342 IA Primary

Addresses

Primary practice location

920 E 2ND Ave Ste 201a&B
Coralville, IA 52241-2219

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009

Other practice location 1

4251 River Center Ct NE
Cedar Rapids, IA 52402-7549
Phone (319) 369-7397

Other identifiers 1

IdentifierTypeStateIssuer
0451773MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20060315000801 IA Practitioner - Family Practice 5698782662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Drexel University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Rehabilitation Associates LLCGroup PAC ID 2961443072, 275 clinicians
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

1130 S Scott Blvd
Suite 1
Iowa City, IA 52240-2909
Phone (319) 354-2429

920 E 2ND Ave 201 Aandb
University of Ia Health Care Medical Center
Coralville, IA 52241-2219
Phone (319) 467-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-36342IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Methodist Hospital CurrentSince Sep 9, 2013 Accepting new patients
St. Luke's Methodist Hospital Current Accepting new patients
St Luke's Methodist Hospital CurrentSince Sep 9, 2013 Accepting new patients
State University of Iowa Family Medicine CurrentSince Nov 20, 2024 Accepting new patients
State University of Iowa Past Accepting new patients
Eastern Iowa Health Center Family Medicine Past Accepting new patients
Mercy Medical Center Past Accepting new patients

Locations

4251 River Center Ct NE
Cedar Rapids, IA 52402
Phone (319) 200-5900

920 E 2nd Ave
Ste 201
Coralville, IA 52241
Phone (319) 384-7000

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

920 E 2nd Ave
Ste 201AB
Iowa City, IA 52241
Phone (319) 467-2000

Organizations & group practices 8

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1629036546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E 2ND AVE STE 201A&B",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412219",
            "telephone_number": "319-467-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4251 River Center Ct NE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524027549",
            "country_code": "US",
            "telephone_number": "319-369-7397",
            "fax_number": "319-369-8639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMISON",
        "first_name": "ANITA",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-36342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0451773",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.