Individual provider Active NPI

Cody Allan Smith, DO

  • Family Medicine Physician
  • West Mifflin, PA
National Provider Identifier
1164981122
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OT019045 Issued in PA
Practice address
1907 Lebanon Church Rd Ste 101
West Mifflin, PA 15122-2452
Phone
(412) 650-9700
NPI assigned
Mar 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X OT019045 PA
Family Medicine Physician 207Q00000X OT019045 PA Primary

Addresses

Primary practice location

1907 Lebanon Church Rd Ste 101
West Mifflin, PA 15122-2452

Mailing address

1907 Lebanon Church Rd Ste 101
West Mifflin, PA 15122-2452

Other practice location 1

2347 Fifth Ave
McKeesport, PA 15132-1126
Phone (412) 673-5504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220909001792 PA Practitioner - Family Practice 3971836164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

1907 Lebanon Church Rd
Suite 101
West Mifflin, PA 15122-2452
Phone (412) 650-9700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT019045PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc Family Medicine CurrentSince Jul 8, 2022 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Upmc Community Medcine Inc Family Medicine CurrentSince Jul 8, 2022 Accepting new patients
Upmc Community Medicine Inc Family Medicine Past Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

2347 5th Ave
McKeesport, PA 15132
Phone (412) 673-5009

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

1907 Lebanon Church Rd
Ste 101
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 650-9700

Interoperability endpoints

  • Direct secure messaging: cody.a.smith@upmcdirect.com

Organizations & group practices 4

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 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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1164981122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 LEBANON CHURCH RD STE 101",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151222452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 LEBANON CHURCH RD STE 101",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151222452",
            "telephone_number": "412-650-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2347 Fifth Ave",
            "address_purpose": "LOCATION",
            "city": "McKeesport",
            "state": "PA",
            "postal_code": "151321126",
            "country_code": "US",
            "telephone_number": "412-673-5504",
            "fax_number": "412-673-2150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CODY",
        "middle_name": "ALLAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT019045",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT019045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Mifflin, PA

Sources for this page

Verify at the official NPI Registry.