Active NPI
Sherolyn B Simmons, MD MPH
- Anesthesiology Physician
- Pasadena, TX
National Provider Identifier
1982774154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G7949
- Practice address
- 4301 Vista Rd
BLDG a
Pasadena, TX 77504-2117 - Phone
- (713) 378-3066
- Fax
- (713) 378-3077
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G7949 | TX | Primary |
Addresses
Primary practice location
4301 Vista Rd
BLDG a
Pasadena, TX 77504-2117
Mailing address
PO Box 5607
Pasadena, TX 77508-5607
Phone (713) 378-3066
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8R5710 | Other | TX | BCBS |
| 0046CC | Other | TX | MEDICARE RPK GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RPK Anesthesia PA. | Anesthesiology | Past | Accepting new patients |
| Omar D. Vidal M.D. P.L.L.C. | Anesthesiology | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/443/brand/1/csg/22/fhir/r4
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.
-
- Interventional Pain Medicine Physician
- Houston, TX
- NPI 1770705865
Anesthesiology
-
dba Beaumont Pain Consultants
- Interventional Pain Medicine Physician
- Beaumont, TX
- NPI 1376712554
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237507200000",
"number": "1982774154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5607",
"city": "PASADENA",
"state": "TX",
"postal_code": "775085607",
"telephone_number": "713-378-3066",
"fax_number": "713-378-3077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 VISTA RD",
"address_2": "BLDG A",
"city": "PASADENA",
"state": "TX",
"postal_code": "775042117",
"telephone_number": "713-378-3066",
"fax_number": "713-378-3077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "SHEROLYN",
"middle_name": "B",
"credential": "MD MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2009-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "G7949",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8R5710",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RPK GROUP #",
"identifier": "0046CC",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.