DR. KAREN ELIZABETH SIMPSON MD
NPI 1366605412
Pediatrics - Adolescent Medicine in Baton Rouge, LA
NPI Status: Active since July 09, 2008
Contact Information
8415 GOODWOOD BLVD
PEDIATRIC ACADEMIC CLINIC
BATON ROUGE, LA
ZIP 70806
Phone: (225) 765-8013
Fax: (225) 765-2033
- Individual
- Female
- Pediatrics
- Adolescent Medicine
- Accepts Insurance
- PECOS Enrolled
About KAREN SIMPSON
This page provides the complete NPI Profile along with additional information for Karen Simpson, a pediatrician established in Baton Rouge, Louisiana with a medical specialization in Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1366605412 assigned on July 2008. The practitioner's primary taxonomy code is 2080A0000X with license number 036-110509 (IL). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1366605412
- Provider Name
- DR. KAREN ELIZABETH SIMPSON MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 8415 GOODWOOD BLVD PEDIATRIC ACADEMIC CLINIC BATON ROUGE, LA 70806
- Location Phone
- (225) 765-8013
- Location Fax
- (225) 765-2033
- Mailing Address
- 8415 GOODWOOD BLVD PEDIATRIC ACADEMIC CLINIC BATON ROUGE, LA 70806
- Mailing Phone
- (225) 765-8013
- Mailing Fax
- (225) 765-2033
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-09-2008
- Last Update Date
- 04-30-2021
- Code Navigator
A pediatrician like Karen Simpson is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036-110509
- License State
- IL
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist | MD 204495 (LA) |
| 2 | 174400000X | Other Service Providers | Specialist | MD 037180 (DC) |
| 3 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 036-110509 (IL) |
| 4 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 204495 (LA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- MyBlue Plus Bronze? 903 - POS
- Connect Bronze 2000 Indiv Med Deductible - HMO
- Connect Bronze 5000 Indiv Med Deductible - Rx Copay - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - Rx Copay - HMO
- Connect Silver 3000 Indiv Med Deductible - Rx Copay - HMO
- Connect Silver CMS Standard - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1423556 | MEDICAID (05) | LA |
Medicare Participation & PECOS Enrollment Status
Karen Simpson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. KAREN ELIZABETH SIMPSON MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 6 | 0 | 5 | 4 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 12 | 0 | 10 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 1 + 2 + 0 + 1 + 0 + 4 + 2 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1366605412 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487653507 | DR. CESAR RONALDO FUNES M.D. Individual | Pediatrics | 8415 GOODWOOD BLVD SUITE 200 BATON ROUGE, LA 70806 (225) 765-6346 |
| 1053365759 | OUR LADY OF THE LAKE HOSPITAL INC Organization | Pediatrics | 8415 GOODWOOD BLVD STE 200 BATON ROUGE, LA 70806 (225) 765-8674 |
| 1275577603 | OUR LADY OF THE LAKE HOSPITAL INC Organization | Internal Medicine | 8415 GOODWOOD BLVD SUITE 105 BATON ROUGE, LA 70806 (225) 765-5727 |
| 1295756294 | DIANE M. KIRBY M.D. Individual | Pediatrics | 8415 GOODWOOD BLVD SUITE 202 BATON ROUGE, LA 70806 (225) 765-8013 |
| 1356483515 | OUR LAKE OF THE LAKE HOSPITAL INC Organization | Internal Medicine | 8415 GOODWOOD BLVD SUITE 105 BATON ROUGE, LA 70806 (225) 765-4361 |
| 1356643399 | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC Organization | Internal Medicine (Cardiovascular Disease) | 8415 GOODWOOD BLVD STE 105 BATON ROUGE, LA 70806 (225) 765-5727 |
| 1629078068 | PAMELA SMITH SHRIVER NP Individual | Nurse Practitioner (Pediatrics) | 8415 GOODWOOD BLVD SUITE 100 BATON ROUGE, LA 70806 (225) 765-5633 |
| 1700869740 | DR. JAMEL ALPHONSO MARTIN M.D. Individual | Pediatrics | 8415 GOODWOOD BLVD SUITE 104 BATON ROUGE, LA 70806 (225) 925-9797 |
| 1740697374 | DAVID BENJAMIN HOLMES MD Individual | Student in an Organized Health Care Education/Training Program | 8415 GOODWOOD BLVD STE. 202 BATON ROUGE, LA 70806 (225) 765-8013 |
| 1881802007 | AMBER ASHLEE DENHAM-RUIZ MD Individual | Pediatrics | 8415 GOODWOOD BLVD SUITE 100 BATON ROUGE, LA 70806 (225) 765-5633 |
| 1124115183 | CHRISTINA MARIE CANNIZZARO M.D. Individual | Pediatrics | 8415 GOODWOOD BLVD SUITE 104 BATON ROUGE, LA 70806 (225) 925-9797 |
| 1891794020 | MRS. AMANDA KIMBLE CRAWFORD CPNP Individual | Nurse Practitioner (Pediatrics) | 8415 GOODWOOD BLVD STE 100 BATON ROUGE, LA 70806 (225) 765-5633 |
| 1184623316 | DR. JOSEPH THOMAS SR. M.D. Individual | Pediatrics | 8415 GOODWOOD BLVD SUITE 100 BATON ROUGE, LA 70806 (225) 765-5633 |
| 1235263724 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Organization | Pediatrics (Pediatric Pulmonology) | 8415 GOODWOOD BLVD SUITE 105 BATON ROUGE, LA 70806 (225) 765-4361 |
| 1851390090 | DR. CHRISTOPHER MICHAEL FUNES M.D. Individual | Pediatrics | 8415 GOODWOOD BLVD SUITE 104 BATON ROUGE, LA 70806 (225) 925-9797 |
| 1730169715 | STEVEN DAVID FELIX MD Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 8415 GOODWOOD BLVD SUITE 200 BATON ROUGE, LA 70806 (225) 765-8674 |
| 1578546511 | DR. PAUL JOSEPH GIORLANDO M.D. Individual | Pediatrics | 8415 GOODWOOD BLVD SUITE 100 BATON ROUGE, LA 70806 (225) 765-5633 |
| 1316989650 | KELLI SPILLERS BOVARD CPNP Individual | Nurse Practitioner (Pediatrics) | 8415 GOODWOOD BLVD SUITE 104 BATON ROUGE, LA 70806 (225) 925-9797 |
| 1689870263 | MICHELLE B BREAUX NP Individual | Nurse Practitioner (Pediatrics) | 8415 GOODWOOD BLVD SUITE 100 BATON ROUGE, LA 70806 (225) 765-5633 |
| 1891094603 | DR. MEAGAN TEAL BLANCHARD M.D. Individual | Pediatrics | 8415 GOODWOOD BLVD SUITE 104 BATON ROUGE, LA 70806 (225) 925-9797 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366605412, enumerated in the NPI registry as an "individual" on July 09, 2008
The provider is located at 8415 Goodwood Blvd Pediatric Academic Clinic Baton Rouge, La 70806 and the phone number is (225) 765-8013
The provider's speciality is Pediatrics with taxonomy code 2080A0000X with a focus in Adolescent Medicine
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on July 09, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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