NPIMap

Individual provider Active NPI

Mary Leann Smith, MD

  • Therapeutic Radiology Physician
  • Oklahoma City, OK
National Provider Identifier
1114118700
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
License
25797 Issued in OK
Practice address
800 NE 10TH St
Okcc L100
Oklahoma City, OK 73104-5418
Phone
(405) 271-3021
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25797 OK
Nuclear Imaging & Therapy Physician 207UN0902X 25797 OK
Therapeutic Radiology Physician 2085R0203X 25797 OK Primary

Addresses

Primary practice location

800 NE 10TH St
Okcc L100
Oklahoma City, OK 73104-5418

Mailing address

104 NW 31St St
Okcc L100
Lawton, OK 73505-6100
Phone (580) 536-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110805000355 OK Practitioner - Radiation OncologyPractitioner - Nuclear MedicinePractitioner - Hematology/Oncology 1557530631 Reassigns benefits to 2 organizations
I20200814000943 SC Practitioner - Radiation Oncology 1557530631

Care Compare profile

Medicare Care Compare
Specialty
Radiation OncologyAlso: Nuclear Medicine
Education
University of Oklahoma College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

104 NW 31St St
Lawton, OK 73505-6100
Phone (580) 536-2121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.44 of 100Reported as group
Quality
82.93
Promoting interoperability
87
Improvement activities
40
Cost
48.79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Centers of Southwest Oklahoma, LLC CurrentSince Sep 11, 2023 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Oct 1, 2020 Accepting new patients
Farmers Union Hospital Association CurrentSince Jun 12, 2024 Accepting new patients
Farmers Union Hospital Association CurrentSince Jun 12, 2024 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Oct 1, 2020 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Comanche County Hospital Authority Past Accepting new patients

Locations

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699

104 NW 31st St
#L100
Lawton, OK 73505

104 NW 31st St
Lawton, OK 73505
Phone (580) 536-2121

1161 Cook Rd
Orangeburg, SC 29118
Phone (803) 395-4600

Organizations & group practices 8

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 5

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": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1114118700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NW 31ST ST",
            "address_2": "OKCC L100",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056100",
            "telephone_number": "580-536-2121",
            "fax_number": "580-536-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NE 10TH ST",
            "address_2": "OKCC L100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045418",
            "telephone_number": "405-271-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY",
        "middle_name": "LEANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "25797",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "OK",
            "license": "25797",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "OK",
            "license": "25797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.