Individual provider Active NPI

Pamela Tess Smallwood, MD

  • Obstetrics & Gynecology Physician
  • Morehead, KY
National Provider Identifier
1053729756
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
TP593 Issued in KY
Practice address
555 W Sun St
Morehead, KY 40351-1563
Phone
(606) 207-2931
NPI assigned
Jul 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R3624 KY
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X TP593 KY Primary

Addresses

Primary practice location

555 W Sun St
Morehead, KY 40351-1563

Mailing address

University of Kentucky RM C-368
Lexington, KY 40536-0001

Other practice location 1

800 Rose St Rm C-368
Lexington, KY 40536-0001
Phone (859) 218-1661

Other identifiers 1

IdentifierTypeStateIssuer
7100396490MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180709000204 KY Practitioner - Obstetrics/Gynecology 5890041792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kentucky College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Practice addresses (Care Compare)

100 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 257-9800

101 Sanders-Brown BLDG
Lexington, KY 40536-0001
Phone (859) 257-1412

217 Elm Tree LN
Lexington, KY 40507-2117
Phone (859) 257-8801

2400 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 323-7426

800 Rose St
Lexington, KY 40536-0001
Phone (859) 323-5000

830 S Limestone
Lexington, KY 40536-0001
Phone (859) 323-0303

Hospital & facility affiliations

  • University of Kentucky Hospital Hospital, Lexington, KY, CCN 180067

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
68.25
Promoting interoperability
100
Improvement activities
40
Cost
72.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3624KYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Medical Services Foundation, Inc Obstetrics & Gynecology CurrentSince Jul 1, 2018 Accepting new patients
University of Kentucky Past Accepting new patients
University of Kentucky Past Accepting new patients

Locations

125 E Maxwell St
Ste 140
Lexington, KY 40508
Phone 8593230005 ext. 85932

800 Rose St
Rm C368
Lexington, KY 40536
Phone (859) 218-1661

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

125 E Maxwell St
Lexington, KY 40508
Phone (859) 323-0005

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

555 W Sun St
Morehead, KY 40351
Phone (606) 207-2931

Interoperability endpoints

  • Direct secure messaging: psmallwood18628@ukhcdirect.org

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 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": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1053729756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF KENTUCKY RM C-368",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W SUN ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511563",
            "telephone_number": "606-207-2931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose St Rm C-368",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360001",
            "country_code": "US",
            "telephone_number": "859-218-1661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "PAMELA",
        "middle_name": "TESS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "R3624",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "TP593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100396490",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.