NPIMap

Individual provider Active NPI

Michael Louis Smith, MD

  • Neurological Surgery Physician
  • New York, NY
National Provider Identifier
1003979261
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
244016 Issued in NY
Practice address
645 Madison Ave FL 34
New York, NY 10022-1010
Phone
(888) 636-7840
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 244016 NY Primary

Addresses

Primary practice location

645 Madison Ave FL 34
New York, NY 10022-1010

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (609) 677-7003

Other identifiers 1

IdentifierTypeStateIssuer
02945820MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080304000253 NY Practitioner - Neurosurgery 4880594027 Reassigns benefits to 2 organizations
I20201014000957 NJ Practitioner - Neurosurgery 4880594027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Howard University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 538-2000

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.37 of 100Reported as group
Quality
69.76
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
86.68
Promoting interoperability
99
Improvement activities
40
Cost
89.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion250
Laminectomy or laminotomy (partial removal of spine bones)80

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Orthopaedics of New York, PLLC CurrentSince Nov 1, 2019 Accepting new patients
New York University Current Accepting new patients
New York University CurrentSince Jan 1, 2025 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Sep 6, 2020 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Sep 6, 2020 Accepting new patients
Rothman Orthopaedics of New York, PLLC CurrentSince Nov 1, 2019 Accepting new patients
New York University Neurological Surgery Past Accepting new patients
Aria Health Physician Services Past Accepting new patients
Nyumc Radiology Associates Past Accepting new patients
New York University Past Accepting new patients

Locations

999 Route 73 N
Ste 401
Marlton, NJ 08053

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

645 Madison Ave
Fl 34
New York, NY 10022
Phone (888) 636-7840

658 White Plains Rd
Tarrytown, NY 10591
Phone (888) 636-7840

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

Interoperability endpoints

  • Direct secure messaging: msmith682923@nychhc.direct-ci.com
  • Direct secure messaging: msmith22200@nyumc.direct-ci.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1003979261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "609-677-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 MADISON AVE FL 34",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221010",
            "telephone_number": "888-636-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "244016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02945820",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.