Individual provider Active NPI

John Paul Simmons, MD

  • Neurology Physician
  • Alamogordo, NM
National Provider Identifier
1841285962
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2001-311 Issued in NM
Practice address
108 Cottonwood Dr
Alamogordo, NM 88310-8219
Phone
(505) 434-0901
Fax
(505) 437-1992
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2001-311 NM Primary

Addresses

Primary practice location

108 Cottonwood Dr
Alamogordo, NM 88310-8219

Mailing address

108 Cottonwood Dr
Alamogordo, NM 88310-8219
Phone (505) 434-0901

Other identifiers 5

IdentifierTypeStateIssuer
NM019849OtherNMBC/BS
130026146OtherNMRR MEDICARE
50662OtherNMPRESBYTERIAN
P7672MedicaidNM
88310A003OtherNMWPS TRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20040729000269 NM Practitioner - Neurology 4587558671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Texas Tech University Health Science Center School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians

Practice addresses (Care Compare)

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001-311NMMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Otero County Hospital Association CurrentSince May 1, 2004 Accepting new patients
Otero County Hospital Association CurrentSince May 1, 2004 Accepting new patients

Locations

923 9th St
Ste A
Alamogordo, NM 88310
Phone (575) 439-9000

2474 Indian Wells Rd
Ste B
Alamogordo, NM 88310
Phone (575) 434-6000

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

2050 Scenic Dr
Alamogordo, NM 88310
Phone (575) 434-0901

Interoperability endpoints

  • Direct secure messaging: john.simmons.1@6965.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1841285962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 COTTONWOOD DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108219",
            "telephone_number": "505-434-0901",
            "fax_number": "505-437-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 COTTONWOOD DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108219",
            "telephone_number": "505-434-0901",
            "fax_number": "505-437-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NM",
            "license": "2001-311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "NM019849",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "130026146",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN",
            "identifier": "50662",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P7672",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS TRICARE",
            "identifier": "88310A003",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

Verify at the official NPI Registry.