Individual provider Active NPI

Dylan P Simmons, DO

  • Diagnostic Radiology Physician
  • Cleveland, OH
National Provider Identifier
1760747794
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34C.000673 Issued in OH
Practice address
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone
(216) 844-1700
NPI assigned
Jul 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 3399 TN
Diagnostic Radiology Physician 2085R0202X 77863 GA
Diagnostic Radiology Physician 2085R0202X 0101289072 VA
Diagnostic Radiology Physician 2085R0202X 34C.000673 OH Primary

Addresses

Primary practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Mailing address

8055 Mayfield Rd Ste 105
Chesterland, OH 44026-2447

Other practice location 1

1364 Clifton Rd NE
Atlanta, GA 30322-3600
Phone (404) 778-6264

Other practice location 2

8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8073

Other practice location 3

4820 Old Kingston Pike
Knoxville, TN 37919-6424
Phone (865) 558-9862

Other practice location 4

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-7766

Other identifiers 2

IdentifierTypeStateIssuer
Q036857MedicaidTN
7100538150MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181018000330 TN Practitioner - Diagnostic Radiology 6507149077 Reassigns benefits to 3 organizations
I20260430003241 VA Practitioner - Diagnostic Radiology 6507149077 Reassigns benefits to 4 organizations
I20260506001658 MD Practitioner - Diagnostic Radiology 6507149077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians
Abercrombie Radiological Consultants IncGroup PAC ID 3072411834, 51 clinicians
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

103 Midlake Dr Level
Knoxville, TN 37918-3039
Phone (865) 687-7704

1112 E Weisgarber Rd
Suite 102
Knoxville, TN 37909-2647
Phone 86555898623215

1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37849-4016
Phone (865) 938-3627

201 E Emory Rd
Powell, TN 37849-4016
Phone (865) 938-3627

721 Hwy 321 N
Suite C
Lenoir City, TN 37771-5003
Phone (865) 986-3283

7211 Wellington Dr
Knoxville, TN 37919-5968

7545 Barnett Way
Powell, TN 37849-3565
Phone (865) 824-1524

78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 932-4075

9333 Park W Blvd
Knoxville, TN 37923-4305

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Quality
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3399TNMDPediatric Chiropractor
77863GAMDDiagnostic Radiology Physician
34C.000673OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uva Outpatient Imaging Culpeper, LLC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Foundation Radiology Group PC Diagnostic Radiology CurrentSince Feb 16, 2026 Accepting new patients
Abercrombie Radiological Consultants Inc Diagnostic Radiology CurrentSince Jul 16, 2018 Accepting new patients
Summit Medical Group, PLLC CurrentSince Sep 18, 2018 Accepting new patients
Summit Medical Group, PLLC CurrentSince Sep 18, 2018 Accepting new patients
Knoxville Radiological Group Associated Diagnostic Radiology PastSince Jun 30, 2001 Accepting new patients
University Hospitals Medical Group Inc Diagnostic Radiology Past Accepting new patients

Locations

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

7211 Wellington Dr
Ste 101
Knoxville, TN 37919
Phone (865) 588-8005

1112 E Weisgarber Rd
Knoxville, TN 37909
Phone (865) 588-1397

1112 E Weisgarber Rd
Ste 201
Knoxville, TN 37909

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1112 E Weisgarber Rd
Ste 102
Knoxville, TN 37909
Phone (865) 588-1397

4820 Old Kingston Pike
Knoxville, TN 37919
Phone (865) 205-2770

Organizations & group practices 10

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 5

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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1760747794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 MAYFIELD RD STE 105",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1364 Clifton Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303223600",
            "country_code": "US",
            "telephone_number": "404-778-6264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8700 Sudley Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104418",
            "country_code": "US",
            "telephone_number": "703-369-8073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4820 Old Kingston Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379196424",
            "country_code": "US",
            "telephone_number": "865-558-9862",
            "fax_number": "865-584-3478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Jesse Hill Jr Dr SE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303033031",
            "country_code": "US",
            "telephone_number": "404-616-7766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "DYLAN",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "3399",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "77863",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101289072",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34C.000673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q036857",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100538150",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.