Individual provider Active NPI

Robert Michael Simonds Jr.

  • Dermatology Physician
  • Cleveland, OH
National Provider Identifier
1952806317
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MED-PHYS-LIC-126918 Issued in MT
Practice address
Cleveland Clinic 9500 Euclid Avenue/NA-23
Cleveland, OH 44195-0001
Phone
(216) 444-2200
Fax
(216) 636-5830
NPI assigned
Mar 28, 2018
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X MED-PHYS-LIC-126918 MT
Dermatology Physician 207N00000X MED-PHYS-LIC-126918 MT Primary

Addresses

Primary practice location

Cleveland Clinic 9500 Euclid Avenue/NA-23
Cleveland, OH 44195-0001

Mailing address

Cleveland Clinic 9500 Euclid Avenue/NA-23
Cleveland, OH 44195-0001
Phone (216) 444-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, WY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20231107000759 MT Practitioner - Dermatology 0749536456 Reassigns benefits to 1 organization
I20241031000382 WY Practitioner - Dermatology 0749536456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Virginia Commonwealth University, School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2900 12TH Ave N
Suite 265W
Billings, MT 59101-7501
Phone (406) 237-7999

424 Yellowstone Ave
Suite 310
Cody, WY 82414-9310
Phone (307) 578-1800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision100
Removal of skin lesions673
Removal of skin cancer352
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy291

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-126918MTMDDermatology Physician
MED-PHYS-LIC-12691MTMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince Sep 12, 2023 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Aug 24, 2024 Accepting new patients
SCL Health Medical Group - Billings LLC Current Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince Sep 12, 2023 Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

2900 12th Ave N
#2
Billings, MT 59101

2900 12th Ave N
Ste 265W
Billings, MT 59101
Phone (406) 237-7125

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

1025 9th St
Cody, WY 82414
Phone (307) 578-2955

Organizations & group practices 4

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1952806317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CLEVELAND CLINIC 9500 EUCLID AVENUE/NA-23",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-444-2200",
            "fax_number": "216-636-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLEVELAND CLINIC 9500 EUCLID AVENUE/NA-23",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-444-2200",
            "fax_number": "216-636-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONDS",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MT",
            "license": "MED-PHYS-LIC-126918",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MT",
            "license": "MED-PHYS-LIC-126918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.