Active NPI
Cheryl Lee Smith, M.D.
- Family Medicine Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301098848
- Practice address
- 22250 Providence Dr
Suite 500
Southfield, MI 48075-4825 - Phone
- (248) 849-3441
- NPI assigned
- May 11, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301098848 | MI | Primary |
Addresses
Primary practice location
22250 Providence Dr
Suite 500
Southfield, MI 48075-4825
Mailing address
27900 Woodmont St
Roseville, MI 48066-2717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wayne State University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry Ford Semi Medical Group
Practice addresses (Care Compare)
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 424-3000
16001 W 9 Mile Rd 3Rd FL
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033
16001 W 9 Mile Rd 3Rd Floor
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033
17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900
210 N Lafayette St
South Lyon, MI 48178-2048
22250 Providence Dr
Southfield, MI 48075-6211
22250 Providence Dr
FL 5
Southfield, MI 48075-4825
Phone (248) 849-3441
Hospital & facility affiliations
- Ascension Providence Hospital, Southfield and Novi
- Henry Ford Health St John Hospital
- Henry Ford Health Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301098848 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Providence Hospital | Family Medicine | Current | Accepting new patients |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Past | Accepting new patients |
Locations
210 N Lafayette St
South Lyon, MI 48178
Phone (248) 437-1744
22250 Providence Dr
Ste 500
Southfield, MI 48075
Phone (248) 849-3441
22250 Providence Dr
Fl 5
Southfield, MI 48075
Phone (248) 849-3441
28000 Dequindre Rd
Warren, MI 48092
Phone (586) 743-0944
Interoperability endpoints
- cheryl.smith.1@16555.direct.athenahealth.com
- csmith1151761@direct.hfhs.org
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.
-
- Surgery Physician
- Southfield, MI
- NPI 1942265236
-
- Pediatrics Physician
- Southfield, MI
- NPI 1265497226
-
- Family Medicine Physician
- Southfield, MI
- NPI 1538123963
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1053603860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27900 WOODMONT ST",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480662717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22250 PROVIDENCE DR",
"address_2": "SUITE 500",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754825",
"telephone_number": "248-849-3441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CHERYL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-11",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301098848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.