Individual provider Active NPI

Angela M Simpson, MD

  • Internal Medicine Physician
  • Fall River, MA
National Provider Identifier
1699723700
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
210556 Issued in MA
Practice address
1565 North Main Street
Suite 306
Fall River, MA 02720-2972
Phone
(508) 973-9500
Fax
(508) 973-0351
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 210556 MA Primary

Addresses

Primary practice location

1565 North Main Street
Suite 306
Fall River, MA 02720-2972

Mailing address

200 Mill Road
Suite 180
Fairhaven, MA 02719-5252
Phone (508) 973-2000

Other identifiers 1

IdentifierTypeStateIssuer
110003615AMedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asimpson6378@direct.southcoast.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 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
I20051021000145 MA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4486670114 Reassigns benefits to 3 organizations
I20170113001878 RI Practitioner - Internal Medicine 4486670114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Form Health Associates Ma, P.C.Group PAC ID 3375953961, 42 clinicians

Practice addresses (Care Compare)

1013 Beacon St
Unit 1
Newton, MA 02459-1722
Phone (617) 505-1520

109 State St
Suite 5
Boston, MA 02109-2906
Phone (617) 505-1520

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210556MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Hospitals Group, Inc Current Accepting new patients
Southcoast Hospitals Group Inc CurrentSince Oct 1, 2007 Accepting new patients
The Miriam Hospital Internal Medicine CurrentSince Nov 22, 2016 Accepting new patients
The Miriam Hospital CurrentSince Nov 22, 2016 Accepting new patients
Southcoast Hospitals Group, Inc CurrentSince Oct 1, 2007 Accepting new patients
Form Health Associates Ma, P.C. CurrentSince Jul 4, 2020 Accepting new patients
Glutality Provider Group, P.a. Internal Medicine Past Accepting new patients
Angels Pioneer Medical Centers, PC Internal Medicine Past Accepting new patients

Locations

109 State St
Ste 5
Boston, MA 02109

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

1565 N Main St
Ste 306
Fall River, MA 02720
Phone (508) 675-0369

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

300 Hanover St
Ste 1F
Fall River, MA 02720
Phone (508) 973-8611

874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553

543 North St
New Bedford, MA 02740
Phone (508) 973-2208

600 3rd Ave
Frnt 2
New York, NY 10016

845 3rd Ave
Ste 600
New York, NY 10022

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

Interoperability endpoints

  • Direct secure messaging: angela.simpson@168064768409604.direct.elationemr.com
  • Direct secure messaging: asimpson6378@direct.southcoast.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1699723700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL ROAD",
            "address_2": "SUITE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195252",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 NORTH MAIN STREET",
            "address_2": "SUITE 306",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202972",
            "telephone_number": "508-973-9500",
            "fax_number": "508-973-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "210556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110003615A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asimpson6378@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "1565 North Main Street",
            "address_2": "Suite 306",
            "city": "Fall River",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027202972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.