NPIMap

Individual provider Active NPI

Jacquelyn Smith, M.D.

  • Rheumatology Physician
  • Louisville, KY
National Provider Identifier
1154769131
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
53115 Issued in KY
Practice address
3430 Newburg Rd Ste 250
Louisville, KY 40218-2458
Phone
(502) 893-3963
NPI assigned
Jun 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 53115 KY Primary

Addresses

Primary practice location

3430 Newburg Rd Ste 250
Louisville, KY 40218-2458

Mailing address

3430 Newburg Rd Ste 250
Louisville, KY 40218-2458
Phone (502) 893-3963

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jacquelynanne.smith.p1@direct.ralou.nexgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20190828004208 KY Practitioner - Internal MedicinePractitioner - Rheumatology 3971725821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
University of Kentucky College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatology Associates, PLLCGroup PAC ID 6608836960, 6 clinicians

Practice addresses (Care Compare)

3430 Newburg Rd
Suite 250
Louisville, KY 40218-2458
Phone (502) 893-3963

Hospital & facility affiliations

  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
97.36
Improvement activities
40
Cost
71.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53115KYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates, PLLC Rheumatology CurrentSince Sep 3, 2019 Accepting new patients

Locations

3430 Newburg Rd
Ste 250
Louisville, KY 40218
Phone (502) 893-3963

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jacquelynanne.smith.p1@direct.ralou.nextgenshare.com

Organizations & group practices 1

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 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1154769131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 NEWBURG RD STE 250",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182458",
            "telephone_number": "502-893-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 NEWBURG RD STE 250",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182458",
            "telephone_number": "502-893-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACQUELYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KY",
            "license": "53115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacquelynanne.smith.p1@direct.ralou.nexgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3430 Newburg Rd Ste 250",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402182458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.