Active NPI
Robert Simmons, MD
- Emergency Medicine Physician
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5631950-1250
- Practice address
- 5475 S 500 E
Ogden, UT 84405-6905 - Phone
- (801) 479-2111
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 5631950-1205 | UT | |
| Emergency Medicine Physician | 207P00000X | 5631950-1250 | UT | Primary |
Addresses
Primary practice location
5475 S 500 E
Ogden, UT 84405-6905
Mailing address
144 S 500 E
2ND Floor
Salt Lake City, UT 84102-1907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D5678 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Utah School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2690 N 600
Pleasant View, UT 84414-7092
Phone (801) 786-7911
Hospital & facility affiliations
- Ogden Regional Medical Center
- Holy Cross Hospital-Davis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5631950-1250 | UT | MD | Emergency Medicine Physician |
| 5631950-1205 | UT | MD | Emergency Medical Services (Emergency Medicine) Physician |
| 23236 | SC | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Integrated Care, LLC | Emergency Medicine | Current | Accepting new patients |
| Bamberg County Memorial Hospital | Past | Accepting new patients |
Locations
1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000
630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231
2690 N 600 W
Pleasant View, UT 84414
Phone (801) 786-7911
3451 W 5600 S
Roy, UT 84067
Phone (801) 896-5600
1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1578598199
-
- Rural Acute Care Hospital
- Bamberg, SC
- NPI 1124051834
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Layton, UT
- NPI 1346945839
-
- General Acute Care Hospital
- Ogden, UT
- NPI 1720031636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273017600000",
"number": "1730141334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 S 500 E",
"address_2": "2ND FLOOR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5475 S 500 E",
"city": "OGDEN",
"state": "UT",
"postal_code": "844056905",
"telephone_number": "801-479-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2010-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "UT",
"license": "5631950-1205",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "UT",
"license": "5631950-1250",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D5678",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.