Individual provider Active NPI

Bernard H Simelton Jr., M.D.

  • Emergency Medicine Physician
  • Yonkers, NY
National Provider Identifier
1669632287
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101277412 Issued in VA
Practice address
127 S Broadway
Yonkers, NY 10701
Phone
(914) 378-7510
NPI assigned
Jun 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 263046-1 NY
Emergency Medicine Physician 207P00000X 76201 GA
Emergency Medicine Physician 207P00000X 0101277412 VA Primary

Addresses

Primary practice location

127 S Broadway
Yonkers, NY 10701

Mailing address

1 Alexander St
#308C
Yonkers, NY 10701-7556
Phone (860) 335-1969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160808002209 GA Practitioner - Emergency Medicine 7012180359 Reassigns benefits to 4 organizations
I20230712004600 VA Practitioner - Emergency Medicine 7012180359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Howard University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston County Emergency Group, LLCGroup PAC ID 2264663756, 41 clinicians

Practice addresses (Care Compare)

1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 922-4281

Hospital & facility affiliations

  • Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76201GAMDEmergency Medicine Physician
263046-1NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jun 1, 2023 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Jun 5, 2023 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Jun 5, 2023 Accepting new patients
North Fulton Emergency Physicians, LLC Emergency Medicine CurrentSince Jun 9, 2016 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jun 1, 2023 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 9

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1669632287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ALEXANDER ST",
            "address_2": "#308C",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107017556",
            "telephone_number": "860-335-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "914-378-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMELTON",
        "first_name": "BERNARD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "263046-1",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "76201",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101277412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.