NPIMap

Individual provider Active NPI

Kimberly Gail Smith, MD

  • Obstetrics & Gynecology Physician
  • Sellersville, PA
National Provider Identifier
1144416231
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD442845 Issued in PA
Practice address
670 Lawn Ave Ste 4
Sellersville, PA 18960-1571
Phone
(215) 257-0414
NPI assigned
Sep 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MT190708 PA
Obstetrics & Gynecology Physician 207V00000X MD442845 PA Primary

Addresses

Primary practice location

670 Lawn Ave Ste 4
Sellersville, PA 18960-1571

Mailing address

670 Lawn Ave Ste 4
Sellersville, PA 18960-1571
Phone (215) 257-0414

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111027000527 PA Practitioner - Obstetrics/Gynecology 5294908851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Chicago, Pritzker School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

670 Lawn Ave
Suite 4
Sellersville, PA 18960-1571
Phone (215) 257-0414

Hospital & facility affiliations

  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035
  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT190708PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group Inc. CurrentSince Apr 1, 2021 Accepting new patients
Star Community Health, Inc CurrentSince Jan 3, 2023 Accepting new patients
Star Community Health, Inc CurrentSince Jan 3, 2023 Accepting new patients
Alderfer and Kupersmith Associates Obstetrics & Gynecology Current Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Apr 1, 2021 Accepting new patients
St. Luke'S Physician Group, Inc Obstetrics & Gynecology Past Accepting new patients
St Lukes Quakertown Hospital Past Accepting new patients

Locations

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

142 Clemens Rd
Ste 100
Harleysville, PA 19438
Phone (215) 527-0414

270 Main St
Ste 4
Harleysville, PA 19438
Phone (215) 256-4501

670 Lawn Ave
Ste 4
Sellersville, PA 18960
Phone (215) 257-0414

670 Lawn Ave
Ste 4A
Sellersville, PA 18960
Phone (215) 257-0414

Interoperability endpoints

  • Direct secure messaging: kimberly.smith2@slpg.direct-sluhn.org

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 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": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1144416231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 LAWN AVE STE 4",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601571",
            "telephone_number": "215-257-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 LAWN AVE STE 4",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601571",
            "telephone_number": "215-257-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "GAIL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT190708",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD442845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.