Individual provider Active NPI

Todd C Smith, M.D.

  • Orthopaedic Hand Surgery Physician
  • Modesto, CA
National Provider Identifier
1104875517
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
G83519 Issued in CA
Practice address
1409 E Briggsmore Ave
Modesto, CA 95355-2707
Phone
(209) 550-4725
NPI assigned
May 10, 2006
Last updated
Jul 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G83519 CA
Orthopaedic Hand Surgery Physician 207XS0106X G83519 CA Primary

Addresses

Primary practice location

1409 E Briggsmore Ave
Modesto, CA 95355-2707

Mailing address

600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211

Other identifiers 1

IdentifierTypeStateIssuer
00G835190MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050104000395 CA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 2668420985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Georgetown University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1409 E Briggsmore Ave
Modesto, CA 95355-2707
Phone (209) 524-1211

1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 526-4500

600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G83519CAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Tracy Community Hospital Past Accepting new patients
Sutter Regional Medical Foundation Orthopaedic Surgery Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tsmith9810@hisp.ehr.sutterhealth.org

Ownership & related parties

All facility ownership & control disclosures 30

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sutter Auburn Faith HospitalAuburn, CA, CCN 050498 Hospital Corporate Director May 21, 2015
California Pacific Medical Center-Mission Bernal CampusSan Francisco, CA, CCN 050055 Hospital Corporate Director Jan 1, 2025
Sutter Medical Center SacramentoSacramento, CA, CCN 050108 Hospital Corporate Director May 21, 2015
Sutter Roseville Medical CenterRoseville, CA, CCN 050309 Hospital Corporate Director May 21, 2015
California Pacific Medical Center-Van Ness CampusSan Francisco, CA, CCN 050047 Hospital Corporate Director Jun 12, 2023
Sutter Center for PsychiatrySacramento, CA, CCN 054096 Hospital Corporate Director May 21, 2015
Sutter Rehabilitation Institute at Sutter Roseville Medical CenterRoseville, CA, CCN 05T309 Hospital Corporate Director May 21, 2015
Sutter Solano Medical CenterVallejo, CA, CCN 050101 Hospital Corporate Director May 21, 2015
Sutter Amador HospitalJackson, CA, CCN 050014 Hospital Corporate Director May 21, 2015
California Pacific Medical CenterSan Francisco, CA, CCN 050008 Hospital Corporate Director Jan 1, 2025
California Pacific Medical Center - Davies CampusSan Francisco, CA, CCN 05T008 Hospital Corporate Director Jun 12, 2023
Sutter Davis HospitalDavis, CA, CCN 050537 Hospital Corporate Director May 21, 2015
Sutter Santa Rosa Regional HospitalSanta Rosa, CA, CCN 050291 Hospital Corporate Director Jan 1, 2025
Sutter Lakeside HospitalLakeport, CA, CCN 05Z329 Hospital Corporate Director Jun 12, 2023
Sutter Eden Medical CenterCastro Valley, CA, CCN 050488 Hospital Corporate Director Jan 1, 2025
Mills Health Center D/P AphSan Mateo, CA, CCN 05S007 Hospital Corporate Director Jun 12, 2023
Memorial Medical CenterModesto, CA, CCN 050557 Hospital Corporate Director May 21, 2015
Memorial Hospital Los BanosLos Banos, CA, CCN 050528 Hospital Corporate Director May 21, 2015
Sutter Tracy Community HospitalTracy, CA, CCN 050313 Hospital Corporate Director May 21, 2015
Alta Bates Summit Medical Center-Summit CampusOakland, CA, CCN 050043 Hospital Corporate Director Jun 12, 2023
Sutter Delta Medical CenterAntioch, CA, CCN 050523 Hospital Corporate Director Jan 1, 2025
Alta Bates Summit Medical Center-Alta Bates CampusBerkeley, CA, CCN 050305 Hospital Corporate Director Jan 1, 2025
California Pacific Medical Center - Davies CampusSan Francisco, CA, CCN 05S008 Hospital Corporate Director Jun 12, 2023
Sutter Surgical Hospital-North ValleyYuba City, CA, CCN 050766 Hospital Corporate Officer (100%)
Corporate Director (100%)
Jun 12, 2023
Jun 12, 2023
Sutter Valley HospitalsAuburn, CA, CCN 557292 Home health agency Corporate Director May 21, 2015
Sutter Auburn Faith Vna & HospiceAuburn, CA, CCN 051632 Hospice Corporate Director May 21, 2015
Sutter Lakeside Medical PracticeLakeport, CA, CCN 553994 Rural health clinic Corporate Director Jun 12, 2023
Sutter North Brownsville Family Practice CenterBrownsville, CA, CCN 553950 Rural health clinic Corporate Director May 21, 2015
Sutter Medical FoundationPlymouth, CA, CCN 058969 Rural health clinic Corporate Director May 21, 2015
Memorial Hospital Los Banos Rural Health ClinicLos Banos, CA, CCN 553998 Rural health clinic Corporate Director May 21, 2015

Owned or controlled facilities with NPI records 30

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 30

Organizations & group practices 4

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.

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1104875517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554201",
            "telephone_number": "209-524-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 E BRIGGSMORE AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552707",
            "telephone_number": "209-550-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TODD",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G83519",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "G83519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G835190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.