Individual provider Active NPI

Saksith Smithason, M.D.

  • Neurological Surgery Physician
  • Lumberton, NC
National Provider Identifier
1154651867
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
2016-00515 Issued in NC
Practice address
4901 Dawn Dr
Suite 3400
Lumberton, NC 28360-8287
Phone
(910) 671-9298
Fax
(910) 671-4850
NPI assigned
Dec 31, 2009
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 4301119295 MI
Neurological Surgery Physician 207T00000X 2016-00515 NC Primary

Addresses

Primary practice location

4901 Dawn Dr
Suite 3400
Lumberton, NC 28360-8287

Mailing address

2600 N Elm St
Lumberton, NC 28358-3011
Phone (910) 671-5367

Other practice location 1

1420 N Monroe St
Monroe, MI 48162-4211
Phone (734) 430-3160

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssmithason204523@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20201009001355 MI Practitioner - Neurosurgery 2961797881 Reassigns benefits to 1 organization
I20210714003529 OH Practitioner - Neurosurgery 2961797881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

2130 W Central Ave
Toledo, OH 43606-3834
Phone (419) 291-4590

818 Riverside Ave
Adrian, MI 49221-1446
Phone (517) 265-0900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion55
Laminectomy or laminotomy (partial removal of spine bones)41

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Sep 1, 2020 Accepting new patients
Promedica Central Physicians CurrentSince Sep 1, 2020 Accepting new patients
The Metrohealth System Current Accepting new patients

Locations

777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411

818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711

1420 N Monroe St
Monroe, MI 48162
Phone (734) 240-8480

730 N Macomb St
Ste 228
Monroe, MI 48162
Phone (734) 242-7060

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2130 W Central Ave
Toledo, OH 43606
Phone (419) 291-4590

Interoperability endpoints

  • Direct secure messaging: ssmithason49046@direct.metrohealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1262217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1154651867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N ELM ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583011",
            "telephone_number": "910-671-5367",
            "fax_number": "910-738-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 DAWN DR",
            "address_2": "SUITE 3400",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283608287",
            "telephone_number": "910-671-9298",
            "fax_number": "910-671-4850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 N Monroe St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481624211",
            "country_code": "US",
            "telephone_number": "734-430-3160",
            "fax_number": "419-291-4593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITHASON",
        "first_name": "SAKSITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-31",
        "last_updated": "2023-11-03",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301119295",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "2016-00515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssmithason204523@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.