Individual provider Active NPI

Jarrod Alexander Smith, DPM

  • Foot & Ankle Surgery Podiatrist
  • Des Moines, IA
National Provider Identifier
1003119405
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO60217485 Issued in WA
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

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1003119405MedicaidIA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210512000870 IA Practitioner - Podiatry 0244418382 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Removal of tissue31
Removal of nail tissue163
Removal or shaving of skin growth23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO60217485WAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Des Moines University Osteopathic Medical Center Foot & Ankle Surgery CurrentSince Jun 21, 2021 Accepting new patients
Des Moines University Osteopathic Medical Center Foot & Ankle Surgery CurrentSince Jun 21, 2021 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

  • FHIR API: https://api.platform.athenahealth.com/11667/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jarrod.smith.1@11667.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.