Individual provider Active NPI

Ronald Lee Smith, D.P.M.

  • Podiatrist
  • Upper Darby, PA
National Provider Identifier
1053350272
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC-002658L Issued in PA
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0940050MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131203000038 PA Practitioner - Podiatry 5698901379 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Removal of tissue29
Removal of nail tissue85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC-002658LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Philadelphia Health Action Inc. CurrentSince Oct 17, 2013 Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince Oct 17, 2013 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.