Individual provider Active NPI

Jonathan G Smith, M.D.

  • Internal Medicine Physician
  • Wayland, MA
National Provider Identifier
1023057015
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
214027 Issued in MA
Practice address
109 Andrew Ave
Suite 203
Wayland, MA 01778-3156
Phone
(508) 358-3300
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 214027 MA Primary

Addresses

Primary practice location

109 Andrew Ave
Suite 203
Wayland, MA 01778-3156

Mailing address

109 Andrew Ave
Suite 203
Wayland, MA 01778-3156
Phone (508) 358-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20031126000428 MA Practitioner - Internal Medicine 5991609372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Warren Alpert Medical School of Brown University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wayland Personal Physicians PLLCGroup PAC ID 7719269588, 4 clinicians

Practice addresses (Care Compare)

109 Andrew Ave
Suite 203
Wayland, MA 01778-3157
Phone (508) 358-3300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Wellesley Hospital Current Accepting new patients
Wayland Personal Physicians PLLC Internal Medicine CurrentSince Feb 1, 2017 Accepting new patients

Locations

109 Andrew Ave
Ste 203
Wayland, MA 01778
Phone (508) 358-3300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15596/brand/1/csg/1/fhir/r4
  • Direct secure messaging: smith.jonathan.nwh@direct.partners.masshiway.net
  • Direct secure messaging: jsmith93497@direct.bilh.masshiway.net
  • Direct secure messaging: jonathan.smith.1@15596.direct.athenahealth.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.

Hospital & facility affiliations 5

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1023057015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ANDREW AVE",
            "address_2": "SUITE 203",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017783156",
            "telephone_number": "508-358-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ANDREW AVE",
            "address_2": "SUITE 203",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017783156",
            "telephone_number": "508-358-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JONATHAN",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "214027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MA

Sources for this page

Verify at the official NPI Registry.