Individual provider Active NPI

Jennifer Dawn Smith, D.O.

  • Diagnostic Radiology Physician
  • Durham, NC
National Provider Identifier
1053842450
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2022-00384 Issued in NC
Practice address
2301 Erwin Rd
Durham, NC 27705-4699
Phone
(919) 684-8111
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2022-00384 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X NM

Addresses

Primary practice location

2301 Erwin Rd
Durham, NC 27705-4699

Mailing address

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

Other practice location 1

Msc 10 5550
University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-4661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230725001704 CO Practitioner - Diagnostic Radiology 5991076168 Reassigns benefits to 1 organization
I20241126002082 FL Practitioner - Diagnostic Radiology 5991076168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio University, College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohri LLCGroup PAC ID 4981912169, 130 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

398 E Altamonte Dr
Altamonte Springs, FL 32701-4402
Phone (407) 331-9355

52 W Underwood St
Orlando, FL 32806-1110
Phone (407) 841-5111

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030
  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032
  • Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217

Merit-based Incentive Payment System (MIPS)

Final score
86.64 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-00384NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Imaging Associates P C Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Ohri, LLC CurrentSince Dec 5, 2024 Accepting new patients
Ohri, LLC CurrentSince Dec 5, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jul 19, 2023 Accepting new patients
Ohri, LLC Diagnostic Radiology Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 5, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 5, 2024 Accepting new patients

Locations (25 of 46)

7375 W 52nd Ave
Ste 210
Arvada, CO 80002
Phone (720) 741-0810

16320 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4560

16280 W 64th Ave
Arvada, CO 80007
Phone (720) 898-1110

400 N Park Ave
Ste 1A
Breckenridge, CO 80424
Phone (970) 547-9200

286 16th St
Burlington, CO 80807
Phone (719) 346-5311

2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

2777 Mile High Stadium Cir
Denver, CO 80211
Phone (303) 825-8822

1800 N Williams St
Ste 100
Denver, CO 80218
Phone (303) 285-5020

32214 Ellingwood Trl
Ste 210
Evergreen, CO 80439
Phone (303) 679-2020

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

760 Warner Dr
Golden, CO 80401
Phone (303) 925-4360

1000 Granby Park Dr S
Granby, CO 80446
Phone (970) 668-5771

5124 W 20th St
Greeley, CO 80634
Phone (970) 837-7100

235 W Fletcher St
Haxtun, CO 80731
Phone (970) 351-0999

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

11650 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-5160

11700 W 2nd Pl
Ste 150
Lakewood, CO 80228
Phone (720) 321-8020

3280 S Wadsworth Blvd
Lakewood, CO 80227
Phone (303) 649-3620

11700 W 2nd Pl
Ste 410
Lakewood, CO 80228
Phone (720) 321-8280

255 S Routt St
Lakewood, CO 80228
Phone (720) 321-8920

255 S Routt St
Ste 300
Lakewood, CO 80228
Phone (720) 321-8280

11700 W 2nd Pl
Ste 100
Lakewood, CO 80228
Phone (720) 321-8230

822 W 4th St
Leadville, CO 80461
Phone (719) 486-0230

1380 Tulip St
Ste B
Longmont, CO 80501
Phone (303) 651-5111

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 7

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 6

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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1053842450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054699",
            "telephone_number": "919-684-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054699",
            "telephone_number": "919-684-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Msc 10 5550",
            "address_2": "University of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-4661",
            "fax_number": "505-272-4628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2022-00384",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.