Individual provider Active NPI

Ronald Morton Smith Jr., M.D.

  • Otolaryngology Physician
  • Springfield, OH
National Provider Identifier
1093787434
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35-08-2476-S Issued in OH
Practice address
435 South Burnett Road
Springfield, OH 45505-2717
Phone
(937) 325-8796
Fax
(937) 325-3640
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 35-08-2476-S OH Primary

Addresses

Primary practice location

435 South Burnett Road
Springfield, OH 45505-2717

Mailing address

435 South Burnett Road
Springfield, OH 45505-2717
Phone (937) 325-8796

Other identifiers 6

IdentifierTypeStateIssuer
1001167OtherOHUNITED HEALTH CARE PROVID
P00042616OtherOHRAILROAD MEDICARE
P00042616OtherOHRAILROAD MEDICARE PROVIDE
7234471OtherOHAETNA PROVIDER NUMBER
000000280776OtherOHANTHEM PROVIDER NUMBER
2409325MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20101202000711 OH Practitioner - Otolaryngology 4981890969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Indiana University School of Medicine, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Ohio Valley Medical Group LLCGroup PAC ID 4385025451, 11 clinicians

Practice addresses (Care Compare)

2816 Troy Rd
Springfield, OH 45504-4328
Phone (937) 340-6440

7790 Dayton Sppringfield Rd
Suite B
Fairborn, OH 45324

Hospital & facility affiliations

  • Ohio Valley Surgical Hospital Hospital, Springfield, OH, CCN 360355
  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086

Merit-based Incentive Payment System (MIPS)

Final score
73.62 of 100Reported as individual
Quality
55.86
Promoting interoperability
93
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Medical Group, LLC Otolaryngology CurrentSince Oct 1, 2023 Accepting new patients
Ohio Valley Medical Center, LLC Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

7790 Dayton Springfield Rd
Ste B
Fairborn, OH 45324
Phone (937) 340-6440

435 S Burnett Rd
Springfield, OH 45505
Phone (513) 325-8796

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCGDCD/Endpoint/BCGDCD
  • Direct secure messaging: rsmith45852@direct.bsmhealth.org
  • Direct secure messaging: rsmith@direct.ovsurgical.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1093787434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SOUTH BURNETT ROAD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455052717",
            "telephone_number": "937-325-8796",
            "fax_number": "937-325-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SOUTH BURNETT ROAD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455052717",
            "telephone_number": "937-325-8796",
            "fax_number": "937-325-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RONALD",
        "middle_name": "MORTON",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35-08-2476-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE PROVID",
            "identifier": "1001167",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00042616",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDE",
            "identifier": "P00042616",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7234471",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000280776",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2409325",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.