Individual provider Active NPI

Robert M Smith II, MD

  • Diagnostic Radiology Physician
  • Pensacola, FL
National Provider Identifier
1043323389
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME61687 Issued in FL
Practice address
1000 West Moreno Street
Pensacola, FL 32501-2316
Phone
(850) 436-4951
Fax
(850) 438-6767
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X ME61687 FL
Nuclear Radiology Physician 2085N0904X ME61687 FL
Pediatric Radiology Physician 2085P0229X ME61687 FL
Diagnostic Radiology Physician 2085R0202X ME61687 FL Primary
Vascular & Interventional Radiology Physician 2085R0204X ME61687 FL
Diagnostic Ultrasound Physician 2085U0001X ME61687 FL

Addresses

Primary practice location

1000 West Moreno Street
Pensacola, FL 32501-2316

Mailing address

PO Box 622047
Orlando, FL 32862-2047
Phone (850) 436-4951

Other identifiers 2

IdentifierTypeStateIssuer
17783OtherFLBCBS
51076013SMIOtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 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
I20080408000715 FL Practitioner - Diagnostic Radiology 4183684277 Reassigns benefits to 2 organizations
I20120124000670 AL Practitioner - Diagnostic Radiology 4183684277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Emory University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Radiology Associates PAGroup PAC ID 2961301999, 39 clinicians

Practice addresses (Care Compare)

400 Taylor Rd
Montgomery, AL 36117-3512
Phone (334) 277-8330

Hospital & facility affiliations

  • D W McMillan Memorial Hospital Hospital, Brewton, AL, CCN 010099

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME61687FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Medical Center Clinic, PA CurrentSince Dec 1, 2008 Accepting new patients
Montgomery Radiology Associates, PA CurrentSince Mar 4, 2025 Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients
Interventional Radiology Consultants, LLC Past Accepting new patients

Locations

1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439

295 S Jackson St
Grove Hill, AL 36451
Phone (251) 275-3191

2016 S Alabama Ave
Monroeville, AL 36460
Phone (251) 575-3111

2055 Normandie Dr
Ste 200
Montgomery, AL 36111
Phone (205) 262-0655

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

2055 Normandie Dr
Montgomery, AL 36111
Phone (334) 288-2100

1717 N E St
Ste 405
Pensacola, FL 32501
Phone (850) 438-6682

8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000

1717 N E St
Ste 423
Pensacola, FL 32501
Phone (850) 434-7507

1717 N E St
Ste 300
Pensacola, FL 32501
Phone (850) 444-4741

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

Organizations & group practices 5

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 1

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1043323389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 622047",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328622047",
            "telephone_number": "850-436-4951",
            "fax_number": "850-438-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WEST MORENO STREET",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012316",
            "telephone_number": "850-436-4951",
            "fax_number": "850-438-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "FL",
            "license": "ME61687",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "FL",
            "license": "ME61687",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "FL",
            "license": "ME61687",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME61687",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME61687",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "FL",
            "license": "ME61687",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "17783",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51076013SMI",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.