Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JULIA SIMMONS MD
NPI 1922065275
Pediatrics in Kansas City, MO

Active since April 28, 2006PECOS Enrolled
3801 DR MARTIN LUTHER KING JR BLVD, KANSAS CITY, MO 64130(816) 923-5800(816) 923-3801 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 29, 2026, Sep 30, 2026, Aug 27, 2026 and 6 more (9 updates tracked since 2025).

About Julia Simmons Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIA SIMMONS MD (NPI 1922065275) is an individual pediatrics provider in Kansas City, Missouri, licensed in Missouri (2002018396) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kansas City.

NPPES Registry Identity

NPI1922065275
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJULIA SIMMONSCredential: MD
Location Address3801 DR MARTIN LUTHER KING JR BLVDKansas City, MO 64130-2807
Mailing Address3801 Dr Martin Luther King Jr BlvdKansas City, MO 64130-2807 · (816) 923-5800
Fax(816) 923-3801
Sole ProprietorNo
Enumeration DateApril 28, 2006
Last NPPES UpdateOctober 29, 20269 updates tracked since enumeration
NPPES CertifiedOctober 29, 2026
✔ NPI 1922065275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 2002018396
Definition
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.
3801 DR MARTIN LUTHER KING JR BLVD, Kansas City, MO 64130

Secondary Practice Location 1

Location 16501 E 87th StKansas City, MO 64138-2732 · Phone (816) 444-8400

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julia Simmons Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Julia Simmons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
4736 PROSPECT AVE
Kansas City, MO 64130
  • Reassigned Medicare billing, Missouri enrollment
  • 175 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY, MO 64130
Social Worker (Clinical)
3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY, MO 64130
Nurse Practitioner (Psychiatric/Mental Health)
3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY, MO 64130
Pediatrics
3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY, MO 64130
Family Medicine
3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY, MO 64130
Nurse Practitioner (Family)
3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY, MO 64130
Nurse Practitioner (Family)
3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY, MO 64130
Counselor (Professional)
3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY, MO 64130

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 Julia Simmons's NPI number?

The NPI number for Julia Simmons is 1922065275. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Julia Simmons located?

Julia Simmons practices at 3801 Dr Martin Luther King Jr Blvd, Kansas City, MO 64130. The listed phone number is (816) 923-5800.

What is Julia Simmons's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Julia Simmons enrolled in Medicare?

Yes. Julia Simmons is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Julia Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julia Simmons reassigns Medicare benefits to Swope Health Services (Kansas City, MO). The 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 Julia Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Julia Simmons accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City list Julia Simmons as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Julia Simmons was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.