Individual provider Active NPI

Victoria A Martin-Smith, M.D.

  • Family Medicine Physician
  • Shelbyville, IN
National Provider Identifier
1154324267
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01050948A Issued in IN
Practice address
2120 Intelliplex Dr
Ste 102
Shelbyville, IN 46176-8547
Phone
(317) 421-5713
Fax
(317) 825-5321
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 01050948A IN
Family Medicine Physician 207Q00000X 01050948A IN Primary

Addresses

Primary practice location

2120 Intelliplex Dr
Ste 102
Shelbyville, IN 46176-8547

Mailing address

30 W Rampart St Ste 200
Shelbyville, IN 46176-8846
Phone (317) 398-0121

Other practice location 1

2451 Intelliplex Dr Ste 260
Shelbyville, IN 46176-8581
Phone (317) 398-0121

Other identifiers 1

IdentifierTypeStateIssuer
200183740MedicaidIN

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
I20070711000118 IN Practitioner - Family Practice 3779683495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Major Multispecialty AssociatesGroup PAC ID 6305997842, 39 clinicians
Major HospitalGroup PAC ID 0446167415, 100 clinicians

Practice addresses (Care Compare)

2120 Intelliplex Dr
Suite 102
Shelbyville, IN 46176-8006
Phone (317) 421-5713

2451 Intelliplex Dr
Shelbyville, IN 46176-8580
Phone (317) 392-3211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01050948AINMDObesity Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital CurrentSince Jun 1, 2018 Accepting new patients
Major Multispecialty Associates Family Medicine CurrentSince Sep 13, 2023 Accepting new patients
Major Hospital CurrentSince Jun 1, 2018 Accepting new patients
Major Multispecialty Associates CurrentSince Sep 13, 2023 Accepting new patients
X-Ray Physicians of Shelbyville PC Current Accepting new patients
Rush Memorial Hospital Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106

110 E 13th St
Rushville, IN 46173
Phone (765) 932-7063

30 W Rampart St
Shelbyville, IN 46176
Phone (317) 398-0121

2451 Intelliplex Dr
#210
Shelbyville, IN 46176
Phone (317) 421-1914

1626 E State Road 44
Ste 24
Shelbyville, IN 46176

2451 Intelliplex Dr
Ste 240
Shelbyville, IN 46176
Phone (317) 398-7337

54 W Broadway St
Ste 6
Shelbyville, IN 46176
Phone (317) 680-0500

2451 Intelliplex Dr
Ste 260
Shelbyville, IN 46176
Phone (317) 398-0121

30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121

2451 Intelliplex Dr
Ste 24
Shelbyville, IN 46176
Phone (317) 398-7337

2120 Intelliplex Dr
Ste 102
Shelbyville, IN 46176
Phone (317) 421-5713

1626 E State Road 44
Ste A
Shelbyville, IN 46176
Phone (317) 421-2012

2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211

505 N Main St
Waldron, IN 46182
Phone (765) 525-4371

Organizations & group practices 7

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 3

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1154324267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W RAMPART ST STE 200",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768846",
            "telephone_number": "317-398-0121",
            "fax_number": "317-398-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 INTELLIPLEX DR",
            "address_2": "STE 102",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768547",
            "telephone_number": "317-421-5713",
            "fax_number": "317-825-5321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2451 Intelliplex Dr Ste 260",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "IN",
            "postal_code": "461768581",
            "country_code": "US",
            "telephone_number": "317-398-0121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN-SMITH",
        "first_name": "VICTORIA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "IN",
            "license": "01050948A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01050948A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200183740",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

Verify at the official NPI Registry.