Individual provider Active NPI

Dorothy Simonsson, MD

  • Pediatrics Physician
  • Towson, MD
National Provider Identifier
1881875532
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D80927 Issued in MD
Practice address
849 Fairmont Avenue
Suite 100a
Towson, MD 21286-2600
Phone
(410) 494-1369
Fax
(410) 494-2737
NPI assigned
Nov 23, 2007
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 57013779 OH
Pediatrics Physician 208000000X D80927 MD Primary

Addresses

Primary practice location

849 Fairmont Avenue
Suite 100a
Towson, MD 21286-2600

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-4950

Other practice location 1

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-4950

Other identifiers 1

IdentifierTypeStateIssuer
0054264MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20160426000170 MD Practitioner - Pediatric Medicine 4486778826 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57013779OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Pediatrics, LLC Pediatrics CurrentSince Apr 4, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10084 Reisterstown Rd
Ste 200B
Owings Mills, MD 21117
Phone (410) 526-7993

515 Fairmount Ave
Ste 200
Towson, MD 21286
Phone (410) 216-1594

849 Fairmount Ave
Ste 100A
Towson, MD 21286
Phone (410) 494-1369

Interoperability endpoints

  • Direct secure messaging: dorothysimonsson@msp.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1881875532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-4950",
            "fax_number": "614-722-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 FAIRMONT AVENUE",
            "address_2": "SUITE 100A",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862600",
            "telephone_number": "410-494-1369",
            "fax_number": "410-494-2737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052664",
            "country_code": "US",
            "telephone_number": "614-722-4950",
            "fax_number": "614-722-4966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONSSON",
        "first_name": "DOROTHY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-23",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "57013779",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D80927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054264",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.