Individual provider Active NPI

Toby Lee Smith, D.O.

  • Geriatric Medicine (Internal Medicine) Physician
  • Kailua Kona, HI
National Provider Identifier
1124239389
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
DOS 1169 Issued in HI
Practice address
73-4603 Kaloko Loa PL
Kailua Kona, HI 96740-7616
Phone
(808) 489-4731
NPI assigned
May 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DOS 1169 HI
Geriatric Medicine (Internal Medicine) Physician 207RG0300X DOS 1169 HI Primary

Addresses

Primary practice location

73-4603 Kaloko Loa PL
Kailua Kona, HI 96740-7616

Mailing address

PO Box 2091
Dalton, GA 30722-2091
Phone (706) 271-0100

Other practice location 1

78-6957 Kamehameha III Rd
Kailua Kona, HI 96740-2528
Phone (808) 322-2790 ext. 124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20091022000186 HI Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6800933912 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mi-Health LLCGroup PAC ID 0143605030, 31 clinicians

Practice addresses (Care Compare)

770 Kapiolani Blvd
Suite 500
Honolulu, HI 96813-5258
Phone (808) 666-9960

Hospital & facility affiliations

  • St Francis Hospice Hospice, Honolulu, HI, CCN 121500
  • Dba Hawai'I Care Choices Hospice, Hilo, HI, CCN 121503
  • Islands Hospice Hospice, Honolulu, HI, CCN 121509
  • Bristol Hospice - Hawaii, LLC Hospice, Honolulu, HI, CCN 121508
  • Hilo Benioff Medical Center Hospital, Hilo, HI, CCN 120005
  • Legacy Hilo Rehabilitation & Nursing Center Nursing home, Hilo, HI, CCN 125065
  • Aloha Nursing & Rehab Centre Nursing home, Kaneohe, HI, CCN 125038
  • Hi'olani Care Center at Kahala Nui Nursing home, Honolulu, HI, CCN 125055

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
67.55
Promoting interoperability
100
Improvement activities
40
Cost
78.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOS 1169HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince May 1, 2025 Accepting new patients
Life Care Physician Services, LLC Internal Medicine CurrentSince Sep 7, 2011 Accepting new patients
Daiya Healthcare PLLC Internal Medicine CurrentSince Oct 27, 2020 Accepting new patients
Palliative Care Hawaii LLC CurrentSince Jan 13, 2025 Accepting new patients
Mi-Health LLC CurrentSince Sep 28, 2023 Accepting new patients
Island Health Care Limited Partnership Past Accepting new patients
Hilo SNF LLC Past Accepting new patients
Ann Pearl Care Home, Inc Past Accepting new patients
Hawaii Hospital Physicians Inc Internal Medicine PastSince Aug 1, 2004 Accepting new patients

Locations

944 W Kawailani St
Hilo, HI 96720
Phone (808) 896-5661

770 Kapiolani Blvd
Ste 500
Honolulu, HI 96813
Phone (808) 666-9960

45-181 Waikalua Rd
Kaneohe, HI 96744
Phone (808) 247-0003

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

Networks

  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
  • HI PPO

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Hale Makua KahuluiKahului, HI, CCN 125007 Skilled nursing facility Adp of the SNF Aug 1, 2024
Legacy Hilo Rehabilitation and Nursing CenterHilo, HI, CCN 125065 Skilled nursing facility Adp of the SNF Nov 1, 2023

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 9

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 9

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": "1180137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1124239389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2091",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307222091",
            "telephone_number": "706-271-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73-4603 KALOKO LOA PL",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967407616",
            "telephone_number": "808-489-4731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78-6957 Kamehameha III Rd",
            "address_purpose": "LOCATION",
            "city": "Kailua Kona",
            "state": "HI",
            "postal_code": "967402528",
            "country_code": "US",
            "telephone_number": "808-322-2790 x124",
            "fax_number": "808-324-1750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TOBY",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-26",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "DOS 1169",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "HI",
            "license": "DOS 1169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

Verify at the official NPI Registry.