Individual provider Active NPI

Anthony Charles Simchak, MD

  • Neurology Physician
  • Lafayette, IN
National Provider Identifier
1639176530
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01036135A Issued in IN
Practice address
3750 Landmark Dr Ste a
Lafayette, IN 47905-6652
Phone
(765) 448-4511
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01036135A IN Primary

Addresses

Primary practice location

3750 Landmark Dr Ste a
Lafayette, IN 47905-6652

Mailing address

3750 Landmark Dr Ste a
Lafayette, IN 47905-6652
Phone (765) 448-4511

Other identifiers 1

IdentifierTypeStateIssuer
100351480MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anthony.simchakmd.p2@direct.ahni.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040416000604 IN Practitioner - Neurology 7517952807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Indiana University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10995 Allisonville Rd
Suite 100
Fishers, IN 46038-2616
Phone (317) 842-7928

3743 Landmark Dr
Suite 200
Lafayette, IN 47905-6656
Phone (765) 448-4511

8607 E US Hwy 36
Avon, IN 46123-7960

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy12

Organizations & group practices 1

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 6

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1639176530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 LANDMARK DR STE A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479056652",
            "telephone_number": "765-448-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 LANDMARK DR STE A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479056652",
            "telephone_number": "765-448-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMCHAK",
        "first_name": "ANTHONY",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01036135A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100351480",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anthony.simchakmd.p2@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3750 Landmark Dr Ste A",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479056652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.