Individual provider Active NPI

Montray Smith

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1053091199
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3018302 Issued in KY
Practice address
201 Abraham Flexner Way Ste 1200
Louisville, KY 40202-3841
Phone
(502) 721-5899
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0033120 OH
Family Nurse Practitioner 363LF0000X 3018302 KY Primary

Addresses

Primary practice location

201 Abraham Flexner Way Ste 1200
Louisville, KY 40202-3841

Mailing address

633 E Daisy LN
New Albany, IN 47150-4482
Phone (812) 207-3911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231115003805 KY Practitioner - Nurse Practitioner 6709233562 Reassigns benefits to 2 organizations
I20240917000341 OH Practitioner - Nurse Practitioner 6709233562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

4406 Montgomery Rd
Cincinnati, OH 45212-3116
Phone (513) 847-6778

650 Sprucewood LN
Erlanger, KY 41018-1062
Phone (859) 282-6600

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3018302KYMDFamily Nurse Practitioner
0033120OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Oct 15, 2023 Accepting new patients
CG Medical Associates Inc CurrentSince Sep 2, 2024 Accepting new patients
University of Louisville Phyisicians, Inc. CurrentSince Oct 15, 2023 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

650 Sprucewood Ln
Erlanger, KY 41018
Phone (859) 282-6600

7683 Mall Rd
Unit B
Florence, KY 41042
Phone (859) 817-1320

7683 Mall Rd
Florence, KY 41042
Phone (859) 817-1320

3457 Valleyplaza Pkwy
Ft Wright, KY 41017
Phone (513) 846-6778

201 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

201 Abraham Flexner Way
Ste 1200
Louisville, KY 40202
Phone (502) 583-8383

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

85 Carothers Rd
Newport, KY 41071
Phone (859) 261-0506

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

4406 Montgomery Rd
Norwood, OH 45212
Phone (513) 376-7116

Organizations & group practices 4

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1053091199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E DAISY LN",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504482",
            "telephone_number": "812-207-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ABRAHAM FLEXNER WAY STE 1200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023841",
            "telephone_number": "502-721-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MONTRAY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0033120",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.