Patrick Raymond Smith, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

104058 Issued in MO

Practice address

1001 Cardwell St
Saint Clair, MO 63077-1094

Phone

(636) 629-3300

Fax

(636) 629-7377

NPI assigned

Aug 1, 2005

Last updated

Jan 21, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Family Practice

Education

University of Texas Medical School at Houston, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Medicine - SLMG South LLCGroup PAC ID 3971833443, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
• Mercy Hospital Washington Hospital, Washington, MO, CCN 260052

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: psmith76868@directc.mercy.net

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.

• Family Medicine - SLMG South, LLC

  • Family Medicine Physician
  • Imperial, MO
  • NPI 1164077822
  Medicare reassignment Care Compare group NPD
• Mercy Clinic Adult Hospitalists - Washington, LLC

  • Hospitalist Physician
  • Washington, MO
  • NPI 1891943429
  Medicare reassignment
• Primary Care of Cedar Hill LLC

  • Family Medicine Physician
  • Cedar Hill, MO
  • NPI 1497257281
  NPD
• Patients First Health Care LLC

  • Cardiovascular Disease Physician
  • Fenton, MO
  • NPI 1356581078
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospitals East Communities

  dba Mercy Hospital Washington

  • General Acute Care Hospital
  • Washington, MO
  • NPI 1285664177
  Care Compare affiliation
• St. Lukes Episcopal-Presbyterian Hospital

  dba St. Luke's Hospital

  • General Acute Care Hospital
  • Chesterfield, MO
  • NPI 1346251543
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1093715096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CARDWELL STREET",
            "city": "ST. CLAIR",
            "state": "MO",
            "postal_code": "63077",
            "telephone_number": "636-629-3300",
            "fax_number": "636-629-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CARDWELL ST",
            "city": "SAINT CLAIR",
            "state": "MO",
            "postal_code": "630771094",
            "telephone_number": "636-629-3300",
            "fax_number": "636-629-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PATRICK",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "104058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208282608",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01135423",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Riemann
• Amanda Kay Robbins, MOTR/L
• Patrick J Rose, M.D.
• Natalie Schroeder, M.A. CCC-SLP
• Amanda Slater, COTA/L
• St Clair Allergy-Asthma
• St Clair Family Dentistry
• St Clair Nursing LLC (St Clair Nursing Center)
• St Clair Physical Therapy Inc
• St Clair Rexall Drug Store (St. Clair Health Mart Pharmacy)

• Family Medicine Physician in Saint Clair, MO
• Providers in Saint Clair, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.