James Simmons, M.D
Pulmonary Disease Physician · Providence, RI
James Simmons, M.D is a pulmonary disease physician with a practice address in Providence, Rhode Island, and NPI 1538402557, issued on Mar 27, 2013. Check the license (Rhode Island MD16685, as entered in NPPES) on the Rhode Island Board of Medical Licensure and Discipline; the Medicare figures below come from public CMS files.
- Name
- James Simmons
- Credential
- M.D
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License numbers
- MD16685 RI
LP03663 RI
Self-reported in NPPES; status is on the state search - Practice location
- 593 Eddy St, Providence, RI 02903
- Phone
- (401) 444-3565
- Enumerated
- Mar 27, 2013
- Record last updated
- Jun 13, 2019 (not updated in 7 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20190624001896); accepts Medicare assignment
- Medical or professional school
- Warren Alpert Medical School Of Brown University, 2013
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 79 in Rhode Island → Look up another NPI →
Also registered at 593 Eddy St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Farah AbazaStudent in an Organized Health Care Education/Training Program1598437477
- Nilofar Abdul ShukurPhysician Assistant1336010529
- Hael Abdulrazeq, MDNeurological Surgery Physician1659934289
- James Abernathy, MDAnesthesiology Physician1942257217
- Karen Abi Chebl, MDStudent in an Organized Health Care Education/Training Program1255179552
- Georges Abi Roustom, MDAnesthesiology Physician1548871908
Verify James Simmons in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersRhode Island Board of Medical Licensure and Discipline
Search for license MD16685Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
99% fewer Medicare Part D claims than the average pulmonary disease physician in 2024
12 Medicare Part D claims, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 100% of claims.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
3 hospitals and group practices
- The Miriam HospitalProvidence, RI · Acute Care Hospitals4 of 5 stars
- Brown MedicineProvidence, RI
- Lifespan Physician Group IncNewport, RI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
James Simmons among 79 pulmonary disease physician records in Rhode Island
James Simmons, M.D is one of 79 pulmonary disease physician records with a practice address in Rhode Island. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 75% of them.
- NPI issued2013 · 75% of these records are older, 20% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 70% of these records are
- Graduated2013 · median 2003 among the 55 with a school on file
- Record last updated2019 · 38% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Rhode Island practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pulmonary Disease Physician providers in Rhode Island
There are 79 pulmonary disease physician records in Rhode Island.
All 79 in Rhode Island → Every provider in Providence → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Jason Aliotta, MDProvidence, RI 029031558314757
- Debasree Banerjee, M.D.Providence, RI 029031164742490
- Ghada Bourjeily, MDProvidence, RI 029031881613057
- Maya Cohen, M.D.Providence, RI 029031780035972
- Rachel Darling, MDProvidence, RI 029031487183133
- Andrew Foderaro, M.D.Providence, RI 029031700179942
- Brian Kimble, MDProvidence, RI 029031952341984
- Jisoo Lee, M.D.Providence, RI 029031962820969
Common questions
What is James Simmons, M.D's NPI number?
James Simmons, M.D's National Provider Identifier (NPI) is 1538402557, issued on Mar 27, 2013. An NPI identifies a provider in billing; it is not a license.
Where is James Simmons, M.D located?
The NPPES record lists a practice address at 593 Eddy St, Providence, RI, 02903. Phone: (401) 444-3565. Providers update this record themselves, so call before visiting.
How can I verify James Simmons, M.D's license?
NPPES lists Rhode Island license number MD16685, as entered by the provider. Search the Rhode Island Board of Medical Licensure and Discipline at https://healthri.mylicense.com/Verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does James Simmons, M.D prescribe under Medicare Part D?
In 2024, James Simmons, M.D had 12 Medicare Part D claims; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.