Individual provider Active NPI

Dustin Simpson, M.D.

  • Diagnostic Radiology Physician
  • Jbsa Lackland, TX
National Provider Identifier
1710285630
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R7893 Issued in TX
Practice address
1100 Wilford Hall Loop, BLDG 4554
Attn: 59 MDW/SGHC
Jbsa Lackland, TX 78236
Phone
(210) 292-6225
NPI assigned
Mar 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 65116-20 WI
Diagnostic Radiology Physician 2085R0202X R7893 TX Primary

Addresses

Primary practice location

1100 Wilford Hall Loop, BLDG 4554
Attn: 59 MDW/SGHC
Jbsa Lackland, TX 78236

Mailing address

1100 Wilford Hall Loop, BLDG 4554
Attn: 59 MDW/SGHC
Jbsa Lackland, TX 78236-9908
Phone (210) 292-6225

Other practice location 1

13280 Evening Creek Dr S Ste 110
San Diego, CA 92128-4109
Phone (858) 546-3800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dsimpson408694@ewd.direct.hshs.org Direct St Vincent Hospital-Hospital Sisters-Third Order of St Francis

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX, IL, AR4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20170512001330 WI Practitioner - Diagnostic Radiology 7911290077 Reassigns benefits to 7 organizations
I20180920000290 TX Practitioner - Diagnostic Radiology 7911290077 Reassigns benefits to 11 organizations
I20220105001878 IL Practitioner - Diagnostic Radiology 7911290077 Reassigns benefits to 1 organization
I20230712001077 AR Practitioner - Diagnostic Radiology 7911290077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Creighton University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of the Fox Valley SCGroup PAC ID 0446152748, 73 clinicians
GBR Sheboygan LLCGroup PAC ID 1951341064, 22 clinicians
Green Bay Radiology SCGroup PAC ID 7113908310, 24 clinicians

Practice addresses (Care Compare)

1411 N Taylor Dr
Sheboygan, WI 53081-3043
Phone (920) 457-4858

16822 Mossford
San Antonio, TX 78255-1307
Phone (614) 340-7740

3003 University Dr
Marinette, WI 54143-4110
Phone (888) 788-2070

3100 Superior Ave
Sheboygan, WI 53081-1948
Phone (800) 472-6710

3113 Saemann Ave
Sheboygan, WI 53081-1957
Phone (920) 496-4700

333 N Commercial St
Neenah, WI 54956-2657
Phone (920) 886-7525

835 S Van Buren St
Green Bay, WI 54301-3526
Phone (920) 496-4700

950 Woodlake Rd
Kohler, WI 53044-1348
Phone (920) 783-3150

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65116-20WIMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Chicago, Inc. CurrentSince Sep 30, 2021 Accepting new patients
West Valley Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
Integrated Imaging Consultants LLC Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
Centre Diagnostic Imaging, PC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Aug 10, 2018 Accepting new patients
Radiology Consultants of Little Rock, PA Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Jan 27, 2024 Accepting new patients
Scripps Health Current Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Aug 1, 2023 Accepting new patients
X-Ray Associates of Louisville PSC Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Radiology Associates of the Fox Valley, SC Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Aug 1, 2023 Accepting new patients
Green Bay Radiology SC Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
GBR Sheboygan LLC Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Aug 1, 2023 Accepting new patients
Barden Thorwarth Daughtridge LTD Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Insight Chicago, Inc. CurrentSince Sep 30, 2021 Accepting new patients
Group Health Cooperative of South Central Wisconsin CurrentSince Feb 5, 2018 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Aug 1, 2023 Accepting new patients
St Mary'S Hospital Medical Center of Green Bay Inc.-Hospital Sisters Past Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis Past Accepting new patients
St Clare Memorial Hospital, Inc. Past Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology Past Accepting new patients
Radiology Associates Inc Diagnostic Radiology Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Meriter Hospital, Inc. Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Focus Medical Imaging Diagnostic Radiology Past Accepting new patients
St. Mary'S Hospital Inc Past Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Past Accepting new patients

Locations (25 of 28)

9601 Baptist Health Dr
Ste 1100
Little Rock, AR 72205
Phone (501) 748-3210

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

2000 Stadium Way
Los Angeles, CA 90026
Phone (213) 202-6886

1300 N Vermont Ave
Ste 407
Los Angeles, CA 90027
Phone (323) 627-4874

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

323 S Heliotrope Ave
Monrovia, CA 91016
Phone (626) 408-9800

413 N Poplar Ave
Montebello, CA 90640
Phone (323) 725-4365

309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

2190 Lynn Rd
Ste 100
Thousand Oaks, CA 91360
Phone (805) 373-8878

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

16237 Ventura Blvd
Van Nuys, CA 91436
Phone (818) 995-5000

4929 Van Nuys Blvd
Van Nuys, CA 91403
Phone (818) 907-4561

1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

3051 Cahill Main
Fitchburg, WI 53711
Phone (608) 257-9700

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

3003 University Dr
Marinette, WI 54143
Phone (715) 735-4200

Interoperability endpoints

  • Direct secure messaging: dsimpson408694@ewd.direct.hshs.org
  • Direct secure messaging: dsimpson78071@scrippshlth.medalliesdirect.net

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1710285630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP, BLDG 4554",
            "address_2": "ATTN: 59 MDW/SGHC",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "782369908",
            "telephone_number": "210-292-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP, BLDG 4554",
            "address_2": "ATTN: 59 MDW/SGHC",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "210-292-6225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13280 Evening Creek Dr S Ste 110",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921284109",
            "country_code": "US",
            "telephone_number": "858-546-3800",
            "fax_number": "858-546-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "DUSTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-01",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "WI",
            "license": "65116-20",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R7893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsimpson408694@ewd.direct.hshs.org",
            "affiliation": "Y",
            "affiliationName": "St Vincent Hospital-Hospital Sisters-Third Order of St Francis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "835 S Van Buren St",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543013526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jbsa Lackland, TX

Sources for this page

Verify at the official NPI Registry.