Active NPI
Jarrod Alexander Smith, DPM
- Foot & Ankle Surgery Podiatrist
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO60217485
- Practice address
- 3200 Grand Ave
Des Moines, IA 50312-4104 - Phone
- (515) 271-1731
- NPI assigned
- Dec 7, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO60217485 | WA | Primary |
Addresses
Primary practice location
3200 Grand Ave
Des Moines, IA 50312-4104
Mailing address
3200 Grand Ave
Des Moines, IA 50312-4104
Phone (515) 271-1731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003119405 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 Grand Ave
FL 5
Des Moines, IA 50312-4104
Phone (515) 271-1707
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 31 |
| Removal of nail tissue | 163 |
| Removal or shaving of skin growth | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO60217485 | WA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Des Moines University Osteopathic Medical Center | Foot & Ankle Surgery | Current | Accepting new patients |
| Des Moines University Osteopathic Medical Center | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
3200 Grand Ave
Des Moines, IA 50312
Phone (515) 271-1700
1555 Hull Ave
Des Moines, IA 50316
Phone (515) 262-5639
3200 Grand Ave
Fl 5
Des Moines, IA 50312
Phone (515) 271-1707
710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201
Interoperability endpoints
- https://api.platform.athenahealth.com/11667/brand/1/csg/1/fhir/r4
- jarrod.smith.1@11667.direct.athenahealth.com
- jsmith@aafcnp-wa.direct.office.nextgen.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Des Moines, IA
- NPI 1164475760
Foot & Ankle Surgery
-
- Durable Medical Equipment & Medical Supplies
- Des Moines, IA
- NPI 1043380801
Foot & Ankle Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1003119405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 GRAND AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503124104",
"telephone_number": "515-271-1731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 GRAND AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503124104",
"telephone_number": "515-271-1731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JARROD",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-07",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "PO60217485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003119405",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.