Katrina A. Smith, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD-42093 Issued in IA

Practice address

2675 N Ankeny Blvd Ste 101
Ankeny, IA 50023-4719

Phone

(515) 217-4807

Fax

(515) 630-0278

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IA

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

Dermatology

Education

University of Iowa, RJ & L Carver College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iowa Dermatology Consultants PLLCGroup PAC ID 0941624340, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00169
• Direct secure messaging: ksmith@iowadermatologyconsultants.ezderm.info

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.

• Iowa Dermatology Consultants, PLLC

  • Dermatology Physician
  • Ankeny, IA
  • NPI 1730705385

  Dermatology, IA

  Medicare reassignment Care Compare group NPD Authorized official
• McFarland Clinic. PC

  • Eyewear Supplier
  • Ames, IA
  • NPI 1508940149
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1104859040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 NE 23RD CT",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500219056",
            "telephone_number": "715-581-5713",
            "fax_number": "515-630-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N ANKENY BLVD STE 101",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234719",
            "telephone_number": "515-217-4807",
            "fax_number": "515-630-0278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "974 73rd St Unit 3940",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502651024",
            "country_code": "US",
            "telephone_number": "833-432-3376",
            "fax_number": "515-257-6977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATRINA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "MD-42093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksmith@iowadermatologyconsultants.ezderm.info",
            "affiliation": "N",
            "address_1": "2675 N Ankeny Blvd Ste 101103",
            "city": "Ankeny",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500234718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksmith@iowadermatologyconsultants.ezderm.info",
            "affiliation": "N",
            "address_1": "974 73rd St Unit 3940",
            "city": "West Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502651024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emma Smith
• Erika Smith
• Jacob Brigham Smith, MD
• Jacqueline Renee Smith, DDS
• Julie Ann Smith, D.D.S.
• Marisa Kay Smith, LMSW
• Meghann Smith, PA-C
• Michaela Smith, BCBA, LBA
• Nicholas Rindels Smith, D.D.S., M.S.
• Sarah Ann Smith, RBT

• All providers in Ankeny, IA
• Dermatology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; 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.