Veda E Lewis-Simmons, DPM MHA LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

772 Issued in MO

Practice address

475 Brookhaven CT
O Fallon, MO 63368-9632

Phone

(314) 323-0669

NPI assigned

Nov 24, 2006

Last updated

Nov 5, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Dr Jeffrey Brooks PCGroup PAC ID 6204175169, 12 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Jeffrey Brooks PC

  • Podiatrist
  • Jefferson City, MO
  • NPI 1972069359
  Medicare reassignment Care Compare group NPD
• Feet for Miles

  • Podiatrist
  • O'Fallon, MO
  • NPI 1497128938
  Medicare reassignment NPD Authorized official
• Attentive Adult Day Center

  • Adult Day Care Clinic/Center
  • O'Fallon, MO
  • NPI 1235619040
  NPD Authorized official
• Dr. Veda E. Lewis-Simmons DPM Mha LLC

  • Foot & Ankle Surgery Podiatrist
  • Saint Louis, MO
  • NPI 1114068988
  Authorized official Same address or phone

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1710053566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 BROOKHAVEN CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633689632",
            "telephone_number": "314-323-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BROOKHAVEN CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633689632",
            "telephone_number": "314-323-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-SIMMONS",
        "first_name": "VEDA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPM MHA LLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "32420",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "333503",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "205061",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "50302",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "480023937",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "5316557",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "08232038",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "110194",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "2708700",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308725209",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey James Lenius, D.D.S, M.S.D.
• Amy Lynn Lentini, MA, LPC
• Benjamin Leuthauser, DPT
• Ryan Levins, PHARMD
• Nat T Levy, MD
• Taryn Lewis, D.C.
• Licensed Professional Counseling Services, LLC
• Life Well Balanced LLC
• Lifetime Dental Care of Missouri, Richard Straus, D.M.D., P.C. (Premier Dental Partners O'Fallon)
• Limitless Physical Therapy LLC

• Podiatrist in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.