DR. SCOTT L SIMS M.D.
NPI 1194797902
Emergency Medicine in Lombard, IL
About Dr. Scott L Sims M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SCOTT L SIMS M.D. (NPI 1194797902) is an individual emergency medicine provider in Lombard, Illinois, licensed in Illinois (036089186) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Edward Hospital, and maintains a secondary practice location in Naperville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Scott L Sims M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Scott Sims reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elmhurst, IL 60126
- Reassigned Medicare billing, Illinois enrollment
- 205 clinicians in this Medicare group
Naperville, IL 60540
- Reassigned Medicare billing, Illinois enrollment
- 268 clinicians in this Medicare group
Evanston, IL 60201
- Reassigned Medicare billing, Illinois enrollment
- 4,841 clinicians in this Medicare group
- Reassigned Medicare billing, Illinois enrollment
- 208 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Edward Hospital
Acute Care Hospitals · Naperville, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60148 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOMBARD, IL 60148
LOMBARD, IL 60148
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Scott Sims's NPI number?
The NPI number for Scott Sims is 1194797902. It was assigned to this individual provider in the NPPES registry on February 6, 2006.
Where is Scott Sims located?
Scott Sims practices at 130 S Main St, Lombard, IL 60148. The listed phone number is (331) 221-5700.
What is Scott Sims's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Scott Sims enrolled in Medicare?
Yes. Scott Sims is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Scott Sims's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Scott Sims reassigns Medicare benefits to 4 organizations: Elmhurst Memorial Hospital (Elmhurst, IL), Edward Hospital (Naperville, IL), Endeavor Health Medical Group (Evanston, IL) and Integritas Emergency Physician Services LLC (IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Sims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Scott Sims affiliated with any hospitals?
According to CMS data, Scott Sims is affiliated with Edward Hospital.
When was this NPI record last updated?
The NPPES record for Scott Sims was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Scott L Sims, M.D. · NPI 1194797902
Emergency Medicine physician in Lombard, Illinois. Individual provider, active in the CMS NPPES registry since February 6, 2006.
## Identity
- **NPI:** 1194797902 (Entity type: Individual)
- **Enumerated:** February 6, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036089186 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 130 S MAIN ST, Lombard, IL 60148-2670
- **Phone:** (331) 221-5700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Elmhurst Memorial Hospital (NPI 1548306343, Elmhurst, IL); Edward Hospital (NPI 1013969013, Naperville, IL); Endeavor Health Medical Group (NPI 1497701882, Evanston, IL); Integritas Emergency Physician Services LLC (IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 1992
## Record status
- **NPPES last updated:** November 19, 2025
- **Other identifiers:** Medicaid 036089186 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1194797902) · Data from the CMS NPPES public registry.