Deion Thomas Sims, MD
Student in an Organized Health Care Education/Training Program in Portland, OR. Individual provider (NPI-1).
Details
- NPI
- 1457056590
- Entity type
- Individual (NPI-1)
- Name
- Deion Thomas Sims
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2023
- Certification date
- Mar 30, 2023
- Last updated
- Mar 30, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - OPHTHALMOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
3181 Sw Sam Jackson Park Rd # L-579Portland, OR 97239-3098
Phone 615-260-3907
Mailing address
3181 Sw Sam Jackson Park Rd # L-579Portland, OR 97239-3011
Phone 615-260-3907
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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