Individual provider Active NPI

Scott P Simmons, MD

  • Family Medicine Physician
  • Oak Bluffs, MA
National Provider Identifier
1922247220
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
252910 Issued in MA
Practice address
1 Hospital Rd
Oak Bluffs, MA 02557-1406
Phone
(508) 693-0410
NPI assigned
Feb 10, 2009
Last updated
Dec 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 252910 MA Primary

Addresses

Primary practice location

1 Hospital Rd
Oak Bluffs, MA 02557-1406

Mailing address

720 Harrison Ave # Dob503
Boston, MA 02118-2371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20121106000138 MA Practitioner - Family PracticePractitioner - Sports Medicine 7214188911 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Rush Medical College of Rush University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martha's Vineyard Hospital IncGroup PAC ID 9931166113, 150 clinicians

Practice addresses (Care Compare)

1 Hospital Rd
Oak Bluffs, MA 02557-1406
Phone 508693041079525

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
252910MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martha's Vineyard Hospital, Inc. CurrentSince Oct 7, 2018 Accepting new patients
DRX UC Watertown PC CurrentSince Jul 15, 2013 Accepting new patients
Martha's Vineyard Hospital, Inc. Family Medicine CurrentSince Oct 7, 2018 Accepting new patients
Afc Physicians of Massachusetts, PC CurrentSince Jul 1, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince Sep 24, 2012 Accepting new patients
Dothouse Health Inc. CurrentSince Sep 1, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince Sep 24, 2012 Accepting new patients
South Boston Community Health Center CurrentSince Sep 1, 2017 Accepting new patients
Martha's Vineyard Hospital Current Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

1353 Dorchester Ave
Dorchester, MA 02122
Phone (617) 288-3230

219 Centre St
Malden, MA 02148
Phone (781) 322-7300

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500

409 W Broadway
South Boston, MA 02127
Phone (617) 269-7500

376 Arsenal St
Watertown, MA 02472
Phone (617) 923-2273

Interoperability endpoints

  • Direct secure messaging: simmons.scott.mvh@direct.partners.masshiway.net

Organizations & group practices 9

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": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1922247220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 HARRISON AVE # DOB503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL RD",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025571406",
            "telephone_number": "508-693-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "SCOTT",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "252910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Bluffs, MA

Sources for this page

Verify at the official NPI Registry.