Randall J Smith, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

9593 Issued in ND

Practice address

1200 S Columbia Rd
Grand Forks, ND 58201-4036

Phone

(701) 780-5000

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND, MT, GA3 enrollments

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 3

Specialty

Interventional RadiologyAlso: Diagnostic Radiology

Education

University of Wisconsin School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Altru Health SystemGroup PAC ID 1355251604, 675 clinicians

Great Falls Clinic LLCGroup PAC ID 8325944499, 73 clinicians

CMSC LLCGroup PAC ID 5890602494, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Altru Hospital Hospital, Grand Forks, ND, CCN 350019
• Great Falls Clinic Hospital Hospital, Great Falls, MT, CCN 270086
• Lifecare Medical Center Hospital, Roseau, MN, CCN 241344
• Sanford Thief River Falls Medical Center Hospital, Thief River Falls, MN, CCN 241381

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4

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.

• Altru Health System

  • Clinic/Center
  • Grand Forks, ND
  • NPI 1043309552

  ND

  Medicare reassignment Care Compare group NPD
• CMSC, LLC

  • General Acute Care Hospital
  • Great Falls, MT
  • NPI 1639109978

  MT

  Medicare reassignment Care Compare group NPD
• Great Falls Clinic LLC

  • Multi-Specialty Clinic/Center
  • Great Falls, MT
  • NPI 1801897780

  MT

  Medicare reassignment Care Compare group NPD
• Altru Health System

  • Ambulance
  • Grand Forks, ND
  • NPI 1114485315
  Care Compare group NPD
• Altru Health System

  • General Acute Care Hospital
  • Grand Forks, ND
  • NPI 1154346161
  Care Compare group NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464

  GA

  Medicare reassignment
• Altru Health System

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Devils Lake, ND
  • NPI 1124117692
  Care Compare group NPD (past)
• Altru Health System

  • Prosthetic/Orthotic Supplier
  • Grand Forks, ND
  • NPI 1033257704
  Care Compare group
• Altru Health System

  • Clinic Pharmacy
  • Grand Forks, ND
  • NPI 1144368085
  Care Compare group
• Altru Health System

  • Home Health Agency
  • Grand Forks, ND
  • NPI 1346339850
  Care Compare group
• Altru Health System

  • Home Infusion Therapy Pharmacy
  • Grand Forks, ND
  • NPI 1497844906
  Care Compare group
• Altru Health System

  • Clinic/Center
  • Grand Forks, ND
  • NPI 1811617103
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Altru Health System

  • General Acute Care Hospital
  • Grand Forks, ND
  • NPI 1154346161

  Hospital

  Care Compare affiliation
• CMSC, LLC

  • General Acute Care Hospital
  • Great Falls, MT
  • NPI 1639109978

  Hospital

  Care Compare affiliation
• Lifecare Medical Center

  • Critical Access Hospital
  • Roseau, MN
  • NPI 1609861095

  Hospital

  Care Compare affiliation
• Sanford Health Network North

  • Critical Access Hospital
  • Thief River Falls, MN
  • NPI 1043218753

  Hospital

  Care Compare affiliation
• Sanford Health Network North

  • Psychiatric Hospital
  • Thief River Falls, MN
  • NPI 1790842466

  Hospital

  Care Compare affiliation
• Sanford Health Network North

  • Multi-Specialty Clinic/Center
  • Thief River Falls, MN
  • NPI 1861895906

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1154417418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6002",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582066002",
            "telephone_number": "701-780-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014036",
            "telephone_number": "701-780-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RANDALL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "ND",
            "license": "9593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Rae Smestad, RN
• Meghan Smetana, DO
• Brandon Allen Smith
• Marisa Smith
• Michelle Leslie Smith, MD
• Valerie Smith, PA
• Gerald S Smyser, MD
• Hannah Snobeck, PT, DPT
• Beverly Ann Snyder, RN
• Erin Snyder, LMT

• All providers in Grand Forks, ND
• Vascular & Interventional Radiology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.