Provider Demographics
NPI:1932183530
Name:SIMS, JAMES III (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:SIMS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 WEST LOOP S STE 500
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4500
Mailing Address - Country:US
Mailing Address - Phone:713-778-1300
Mailing Address - Fax:713-839-7156
Practice Address - Street 1:6800 WEST LOOP S
Practice Address - Street 2:SUITE 560
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4528
Practice Address - Country:US
Practice Address - Phone:713-844-8035
Practice Address - Fax:713-844-8037
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036106739207R00000X, 208000000X
TXN8244207R00000X, 207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036106739Medicaid
TXTXB 125164Medicaid
TX281262001Medicare PIN
IL702000005Medicare PIN
ILH65256Medicare UPIN