Individual provider Active NPI

Jean Simard, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Bartlett, TN
National Provider Identifier
1629068200
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
021397 Issued in TN
Practice address
3045 Kate Bond Rd
Bartlett, TN 38133-4004
Phone
(901) 381-4664
Fax
(901) 373-3804
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 021397 TN
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 021397 TN Primary

Addresses

Primary practice location

3045 Kate Bond Rd
Bartlett, TN 38133-4004

Mailing address

6077 Primacy Pkwy Ste 140
Memphis, TN 38119-5742
Phone (901) 259-1673

Other practice location 1

2100 Exeter Rd Ste 200
Germantown, TN 38138-3966
Phone (901) 641-3000

Other practice location 2

4515 Poplar Ave Ste 206
Memphis, TN 38117-7506
Phone (901) 728-6916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100714000709 TN Practitioner - Orthopedic Surgery 2769523521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MSK Group PCGroup PAC ID 4688574262, 138 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

13690 Hwy 51 S
Suite 104
Atoka, TN 38004-7645
Phone (901) 641-3000

2100 Exeter Rd
Suite 200
Germantown, TN 38138-3966
Phone (901) 641-3000

4515 Poplar Ave
Suite 206
Memphis, TN 38117-7506
Phone (901) 641-3000

5150 Airline Rd
Suite 400
Arlington, TN 38002-8008
Phone (901) 507-1240

6286 Briarcrest Ave
Memphis, TN 38120-4023

8059 Stage Hills Blvd
Suite 104
Bartlett, TN 38133-4071
Phone (901) 383-4515

Hospital & facility affiliations

  • Adoration Home Health Care West Tennessee Home health agency, Cordova, TN, CCN 447564
  • St Francis Hospital Hospital, Memphis, TN, CCN 440183

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement25
Knee replacement45
Lower limb (leg) arthroscopy (minimally invasive joint repair)18
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021397TNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Group, PC Orthopaedic Surgery CurrentSince Nov 18, 2017 Accepting new patients
MSK Group, PC Orthopaedic Surgery CurrentSince Nov 18, 2017 Accepting new patients
MSK Group PC Orthopaedic Surgery Past Accepting new patients

Locations

13690 Highway 51 S
Ste 104
Atoka, TN 38004
Phone (901) 259-4254

8010 Stage Hills Blvd
Bartlett, TN 38133
Phone (901) 937-3200

3045 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 381-4664

2100 Exeter Rd
Ste 200
Germantown, TN 38138
Phone (901) 522-6440

6077 E Primacy Pkwy
Ste 140
Memphis, TN 38119
Phone (901) 725-8347

6286 Briarcrest Ave
Ste 100
Memphis, TN 38120
Phone (901) 259-1600

6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600

4515 Poplar Ave
Ste 206
Memphis, TN 38117
Phone (901) 381-4664

Interoperability endpoints

  • Direct secure messaging: jsimard27807@mlh.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1629068200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6077 PRIMACY PKWY STE 140",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195742",
            "telephone_number": "901-259-1673",
            "fax_number": "901-259-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 KATE BOND RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334004",
            "telephone_number": "901-381-4664",
            "fax_number": "901-373-3804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Exeter Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383966",
            "country_code": "US",
            "telephone_number": "901-641-3000",
            "fax_number": "901-373-0804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4515 Poplar Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381177506",
            "country_code": "US",
            "telephone_number": "901-728-6916",
            "fax_number": "901-373-3804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMARD",
        "first_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "021397",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TN",
            "license": "021397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.