Active NPI
Ronald Lee Smith, D.P.M.
- Podiatrist
- Upper Darby, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC-002658L
- Practice address
- 7125 Hilltop Rd
Upper Darby, PA 19082-3603 - Phone
- (610) 352-3373
- Fax
- (610) 352-3488
- NPI assigned
- Jun 5, 2006
- Last updated
- Aug 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC-002658L | PA | Primary |
Addresses
Primary practice location
7125 Hilltop Rd
Upper Darby, PA 19082-3603
Mailing address
7125 Hilltop Rd
Upper Darby, PA 19082-3603
Phone (610) 352-3373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0940050 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1999 W Hunting Park Ave
Philadelphia, PA 19140-2828
Phone (215) 228-9300
4510 Frankford Ave
Philadelphia, PA 19124-3602
Phone (215) 744-1302
5000 Woodland Ave
Philadelphia, PA 19143-5137
Phone (215) 726-9807
800 Washington Ave
Philadelphia, PA 19147-4717
Phone (215) 339-5100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 29 |
| Removal of nail tissue | 85 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC-002658L | PA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Philadelphia Health Action Inc. | Current | Accepting new patients | |
| Greater Philadelphia Health Action, Inc. | Current | Accepting new patients | |
| Greater Philadelphia Health Action Inc. | Podiatrist | Past | Accepting new patients |
Locations
1999 W Hunting Park Ave
Philadelphia, PA 19140
Phone (215) 228-9300
432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000
4510 Frankford Ave
Philadelphia, PA 19124
Phone (215) 535-1990
5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700
Interoperability endpoints
- ronald.smith.p1@direct.gpha.nextgenshare.com
Organizations & group practices 3
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.
-
dba GPHA Woodland Ave. Behavioral Healthcare
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1205140902
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1275151607
-
dba GPHA Southeast Health Center
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1417902362
Podiatrist
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": "1185926400000",
"number": "1053350272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7125 HILLTOP RD",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190823603",
"telephone_number": "610-352-3373",
"fax_number": "610-352-3488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7125 HILLTOP RD",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190823603",
"telephone_number": "610-352-3373",
"fax_number": "610-352-3488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RONALD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2007-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC-002658L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0940050",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Upper Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.