Individual provider Active NPI

Kirk M. Smith, M.D.

  • Family Medicine Physician
  • Lawton, OK
National Provider Identifier
1023008653
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23307 Issued in OK
Practice address
4909 SE Mills Ave
Lawton, OK 73501-8705
Phone
(580) 890-0545
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 23307 OK
Family Medicine Physician 207Q00000X 23307 OK Primary

Addresses

Primary practice location

4909 SE Mills Ave
Lawton, OK 73501-8705

Mailing address

4909 SE Mills Ave
Lawton, OK 73501-8705
Phone (580) 890-0545

Other identifiers 2

IdentifierTypeStateIssuer
200019910AMedicaidOK
800522535OtherOKMEDICARE GROUP PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, VI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050304000207 OK Practitioner - Family PracticePractitioner - Emergency Medicine 6608825732 Reassigns benefits to 3 organizations
I20240221004524 VI Practitioner - Emergency Medicine 6608825732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Wellness Anadarko Inc CurrentSince Apr 19, 2024 Accepting new patients
Rural Wellness Anadarko Inc CurrentSince Apr 19, 2024 Accepting new patients
Nes Oklahoma, Inc. CurrentSince Mar 4, 2022 Accepting new patients
Rural Wellness Fairfax Inc CurrentSince Apr 19, 2024 Accepting new patients
Rural Wellness Fairfax Inc CurrentSince Apr 19, 2024 Accepting new patients
Sterling Emergency Services of Oklahoma, Inc. Past Accepting new patients
Myrah Keating Smith Community Health Center Past Accepting new patients
Okmulgee Emergency PLLC Emergency Medical Services Past Accepting new patients
Broken Arrow Medical Group LLC Family Medicine Past Accepting new patients
University Health Physicians Family Medicine Past Accepting new patients
Jicarilla IHS Pharmacy PastSince Mar 5, 2023 Accepting new patients
Marshall County Hma, LLC Past Accepting new patients

Locations

1002 E Central Blvd
Anadarko, OK 73005
Phone (405) 247-2551

40 Hospital Rd
Fairfax, OK 74637
Phone (918) 642-8827

Dept 960617
Oklahoma City, OK 73196

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

2308 W Highway 66
Stroud, OK 74079
Phone (918) 968-3571

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1023008653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 SE MILLS AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735018705",
            "telephone_number": "580-890-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 SE MILLS AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735018705",
            "telephone_number": "580-890-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIRK",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OK",
            "license": "23307",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200019910A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "800522535",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.