Individual provider Active NPI

Kyle A Smith, NP

  • Interventional Pain Medicine Physician
  • Dublin, OH
National Provider Identifier
1174130215
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
APRN.CNP.0027506 Issued in OH
Practice address
6397 Emerald Pkwy
Dublin, OH 43016-2200
Phone
(614) 383-6450
Fax
(614) 383-6455
NPI assigned
Sep 23, 2020
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0027506 OH
Interventional Pain Medicine Physician 208VP0014X APRN.CNP.0027506 OH Primary

Addresses

Primary practice location

6397 Emerald Pkwy
Dublin, OH 43016-2200

Mailing address

PO Box 734439
Chicago, IL 60673-4439
Phone (614) 383-6450

Other identifiers 1

IdentifierTypeStateIssuer
0418787MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200929002645 OH Practitioner - Nurse Practitioner 3870912538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1210 Gemini PL
Suite 300
Columbus, OH 43240-6112
Phone (614) 383-6450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ips ASC, LLC Interventional Pain Medicine Current Accepting new patients
Integrated Pain Solutions Incorporated Interventional Pain Medicine CurrentSince Sep 9, 2020 Accepting new patients
Integrated Pain Solutions Incorporated CurrentSince Sep 9, 2020 Accepting new patients
Lima Memorial Joint Operating Company Interventional Pain Medicine Past Accepting new patients
Pain Care Specialists, LLC PastSince Dec 8, 2024 Accepting new patients

Locations

1210 Gemini Pl
Ste 300
Columbus, OH 43240
Phone (614) 220-5648

6397 Emerald Pkwy
Ste 100
Dublin, OH 43016
Phone (614) 734-1100

1117 E Home Rd
Springfield, OH 45503
Phone (937) 342-1619

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1174130215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734439",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606734439",
            "telephone_number": "614-383-6450",
            "fax_number": "614-383-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6397 EMERALD PKWY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430162200",
            "telephone_number": "614-383-6450",
            "fax_number": "614-383-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KYLE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-23",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0027506",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "APRN.CNP.0027506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418787",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.