Individual provider Active NPI

James R Simonson, MD

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1720002199
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
24589 Issued in OK
Practice address
3705 NW 63Rd St Ste 100
Oklahoma City, OK 73116-1937
Phone
(405) 608-4290
Fax
(903) 787-5854
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 24589 OK Primary

Addresses

Primary practice location

3705 NW 63Rd St Ste 100
Oklahoma City, OK 73116-1937

Mailing address

13919B N May Ave # 212
Oklahoma City, OK 73134-5035
Phone (888) 991-1101

Other identifiers 1

IdentifierTypeStateIssuer
200073400AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20060130000609 OK Practitioner - AnesthesiologyPractitioner - Emergency Medicine 1850305897 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians
Anesthesia Medical Professionals PLLCGroup PAC ID 5991970279, 103 clinicians

Practice addresses (Care Compare)

11200 N Portland Ave
Oklahoma City, OK 73120-5045
Phone (888) 324-7432

4801 Integris Pkwy
Edmond, OK 73034-8864
Phone (405) 713-4565

8100 S Walker Ave
BLDG C
Oklahoma City, OK 73139-9404
Phone (405) 602-6500

Hospital & facility affiliations

  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomed Staffing LLC Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients
Anesthesia Medical Professionals, PLLC Anesthesiology CurrentSince Dec 15, 2020 Accepting new patients
Northwest Anesthesia PC Anesthesiology Past Accepting new patients
Group LLC Anesthesiology PastSince Apr 30, 2003 Accepting new patients
Northstar Anesthesia of Oklahoma, PLLC Anesthesiology Past Accepting new patients

Locations

4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

8100 S Walker Ave
Bldg C
Oklahoma City, OK 73139
Phone (405) 602-6500

3300 NW Expressway St
Fl 2
Oklahoma City, OK 73112
Phone (405) 251-2815

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

11200 N Portland Ave
Oklahoma City, OK 73120
Phone (405) 936-1000

Organizations & group practices 7

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 4

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1720002199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13919B N MAY AVE # 212",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731345035",
            "telephone_number": "888-991-1101",
            "fax_number": "903-787-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 NW 63RD ST STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161937",
            "telephone_number": "405-608-4290",
            "fax_number": "903-787-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONSON",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "24589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200073400A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.