Individual provider Active NPI

Donald Ian Smith, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Carmel, IN
National Provider Identifier
1114020567
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
01051881A Issued in IN
Practice address
12188B N Meridian St Ste 350B
Carmel, IN 46032-4900
Phone
(317) 582-1841
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 036110127 IL
Cytopathology Physician 207ZC0500X 01051881A IN
General Practice Physician 208D00000X 01051881 IN
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 01051881A IN Primary

Addresses

Primary practice location

12188B N Meridian St Ste 350B
Carmel, IN 46032-4900

Mailing address

12188B N Meridian St Ste 350B
Carmel, IN 46032-4900
Phone (317) 582-1841

Other identifiers 8

IdentifierTypeStateIssuer
3170035OtherAETNA
7100037900MedicaidKY
H24078OtherMERCY HEALTH PLAN
1194840595OtherINANTHEM-IN
1114020567OtherMOBCBS-MO
P00443719OtherRAILROAD MEDICARE
200086440MedicaidIN
173867OtherININDIANA COMPREHENSIVE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address donald.smithmd.p13@direct.ahni.nextgenshare.com Direct
Direct Messaging Address donald.smith@ogi.gwaydirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040217000772 IN Practitioner - Pathology 6002701216 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of North Carolina at Chapel Hill School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Health Network of Indiana LLCGroup PAC ID 9830093533, 204 clinicians

Practice addresses (Care Compare)

13000 N Meridian St
Suite 100
Carmel, IN 46032-1404
Phone (317) 582-1841

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01051881AINMDAnatomic Pathology & Clinical Pathology Physician
01051881INMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana, LLC CurrentSince Apr 1, 2022 Accepting new patients
Seven Hills OB-GYN Associates LLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2021 Accepting new patients
DCL Medical Laboratories LLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
American Health Network of Indiana LLC CurrentSince Apr 1, 2022 Accepting new patients
Seven Hills OB-GYN Associates, LLC CurrentSince Jan 1, 2021 Accepting new patients
DCL Pathology LLC Cytopathology CurrentSince May 14, 2012 Accepting new patients
DCL Pathology LLC Current Accepting new patients
DCL Laboratories LLC Past Accepting new patients
American Health Network of Indiana, LLC PastSince Apr 6, 2021 Accepting new patients
DCL Medical Laboratories LLC Past Accepting new patients

Locations

1520 Momentum Pl
Chicago, IL 60689

1616 Eastport Plaza Dr
Collinsville, IL 62234
Phone (618) 343-0002

2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000

13000 N Meridian St
Ste 101
Carmel, IN 46032
Phone (317) 208-3855

13000 N Meridian St
Ste 100
Carmel, IN 46032
Phone (317) 580-1841

10689 N Pennsylvania St
Ste 200
Carmel, IN 46280
Phone (317) 580-6309

11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718

10291 N Meridian St
Ste 100
Carmel, IN 46290
Phone (317) 874-1254

12772 Hamilton Crossing Blvd
Ste A
Carmel, IN 46032
Phone (317) 874-1254

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

300 E Boyd Ave
Ste 100
Greenfield, IN 46140
Phone (317) 208-3866

9550 Zionsville Rd
Indianapolis, IN 46268
Phone (317) 872-0116

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

9550 Zionsville Rd
#110
Indianapolis, IN 46268
Phone (317) 872-0116

9002 N Meridian St
Ste 214
Indianapolis, IN 46260
Phone (317) 208-3813

9550 Zionsville Rd
Ste 200
Indianapolis, IN 46268
Phone (317) 872-0116

9550 Zionsville Rd
#200
Indianapolis, IN 46268
Phone (317) 872-0116

Interoperability endpoints

  • Direct secure messaging: donald.smithmd.p13@direct.ahni.nextgenshare.com
  • Direct secure messaging: donald.smith@ogi.gwaydirect.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1114020567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12188B N MERIDIAN ST STE 350B",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324900",
            "telephone_number": "317-582-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12188B N MERIDIAN ST STE 350B",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324900",
            "telephone_number": "317-582-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DONALD",
        "middle_name": "IAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036110127",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "IN",
            "license": "01051881A",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01051881",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01051881A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3170035",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100037900",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PLAN",
            "identifier": "H24078",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-IN",
            "identifier": "1194840595",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MO",
            "identifier": "1114020567",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00443719",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200086440",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA COMPREHENSIVE",
            "identifier": "173867",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donald.smithmd.p13@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "12188B N Meridian St Ste 350B",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460324900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donald.smith@ogi.gwaydirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11405 Pennsylvania St Ste 260",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460327440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.