Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Roy J Simms , MD

Pediatrics β€’ Yakima, WA

Active NPI 1174628069 Individual Practitioner Male Practitioner
Practice location in NPPES

402 S 12th Ave
Yakima, WA 989023115

Call 5095750114 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

402 S 12th Ave

Yakima, WA 989023115

Telephone 5095750114
Fax 5095750808
Organization at the Same NPPES Address or Phone
Yakima Valley Professional Services On 12th, Pc Facility NPI 1356393383

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Simms has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Simms as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Yakima and Washington

29 active clinicians are listed under Pediatrics with a practice address in Yakima, WA (1,753 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Yakima

0% of these 29 clinicians have the CMS telehealth indicator.

6.9% of these 29 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-03-23
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WA MD00016854

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1622802 (WA)
Other Identifier L&i Crime Victim
8941848 (WA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20041015000088

Enrollment State Jurisdiction

WA

PECOS Control ID

0143280974

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1366547416

Doctor of Medicine (M.D.)

Dr. Michael Schaffrinna , MD

Pediatrics - Adolescent Medicine

NPI 1548352487

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 23, 2020

Registered at 402 S 12TH AVE, YAKIMA, WA 989023115 (Tel: 5095750114)

πŸ“
Updated Practice Location August 02, 2018

Registered at 402 S 12TH AVE, YAKIMA, WA 98902 (Tel: 5095750114)

βœ…
NPI Profile Active November 21, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 21, 2014

Registered at 314 S 11TH AVE, SUITE A, YAKIMA, WA 989023214 (Tel: 5095750114)

πŸ“
Business Mailing Address (Initial Record) November 21, 2014

Registered at 501 S 5TH AVE, YAKIMA, WA 989023550 (Tel: 5094946700)

πŸ‘€
Provider Name / Credentials (Initial Record) November 21, 2014

Recorded as ROY SIMMS, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2014

Pediatrics (license number reported to NPPES: WA MD00016854)

🟒
Initial NPI Registration & Enumeration September 14, 2006

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1174628069
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2006
Last Update: March 23, 2020
Sole Proprietor: No

Other Pediatrics Specialists in Yakima

Healthcare providers in Yakima

Mailing Address

501 S 5th Ave

Yakima, WA 989023550

Phone: 5094946700

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.