NPIMap

Individual provider Active NPI

Melitta Simmons, DPM

  • Podiatrist
  • Springfield, OH
National Provider Identifier
1902809825
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003322 Issued in OH
Practice address
2330 E High St Unit B
Springfield, OH 45505-1371
Phone
(614) 866-3182
Fax
(614) 866-5627
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003322 OH Primary

Addresses

Primary practice location

2330 E High St Unit B
Springfield, OH 45505-1371

Mailing address

1400 S Main St
Bellefontaine, OH 43311-1581
Phone (937) 599-3668

Other practice location 1

1400 S Main St
Bellefontaine, OH 43311-1581
Phone (937) 599-3668

Other identifiers 2

IdentifierTypeStateIssuer
H156271OtherOHMEDICARE
2406668MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040311000263 OH Practitioner - Podiatry 8426947219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1400 S Main St
Suite B
Bellefontaine, OH 43311-1581
Phone (937) 599-3668

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue33
Removal of skin lesions22
Removal of nail tissue227
Removal or shaving of skin growth12
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003322OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Foot and Ankle Specialists, LLC Podiatrist CurrentSince Sep 1, 2013 Accepting new patients
Complete Foot and Ankle Specialists LLC Podiatrist CurrentSince Sep 1, 2013 Accepting new patients
Mobile Medical, Inc. Podiatrist Past Accepting new patients
Circleville Foot & Ankle LLC Podiatrist Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1400 S Main St
Bellefontaine, OH 43311
Phone (937) 599-2662

1400 S Main St
Ste B
Bellefontaine, OH 43311

2330 E High St
Ste B
Springfield, OH 45505
Phone (937) 322-3346

2330 E High St
Unit B
Springfield, OH 45505
Phone (614) 866-3182

2330 E High St
Springfield, OH 45505
Phone (937) 324-3937

Organizations & group practices 5

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1902809825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S MAIN ST",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111581",
            "telephone_number": "937-599-3668",
            "fax_number": "937-599-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 E HIGH ST UNIT B",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051371",
            "telephone_number": "614-866-3182",
            "fax_number": "614-866-5627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 S Main St",
            "address_purpose": "LOCATION",
            "city": "Bellefontaine",
            "state": "OH",
            "postal_code": "433111581",
            "country_code": "US",
            "telephone_number": "937-599-3668",
            "fax_number": "937-599-4852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "MELITTA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H156271",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2406668",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.