Individual provider Active NPI

Russel N Smith III, MD

  • Family Medicine Physician
  • Alexandria, LA
National Provider Identifier
1184685158
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
59098491205 Issued in UT
Practice address
5900 Coliseum Blvd
Alexandria, LA 71303-3714
Phone
(318) 386-8110
NPI assigned
Mar 30, 2006
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 59098491205 UT Primary

Addresses

Primary practice location

5900 Coliseum Blvd
Alexandria, LA 71303-3714

Mailing address

201 Sunrise Rd
Jonesville, LA 71343-5308
Phone (318) 758-1469

Other practice location 1

210 W 300 N
75-3
Roosevelt, UT 84066-2336
Phone (435) 722-3971

Other identifiers 1

IdentifierTypeStateIssuer
D6204MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, MS, LA, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20050713000283 UT Practitioner - Family Practice 7113953902 Reassigns benefits to 3 organizations
I20100429001013 MS Practitioner - Family PracticePractitioner - Emergency Medicine 7113953902 Reassigns benefits to 1 organization
I20120321000743 LA Practitioner - Family PracticePractitioner - Emergency Medicine 7113953902 Reassigns benefits to 10 organizations
I20201009001091 TX Practitioner - Family Practice 7113953902

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uintah Basin Medical CenterGroup PAC ID 0244131944, 62 clinicians
Monroe Emergency Physicians LLCGroup PAC ID 8820405079, 13 clinicians
River Oaks Emergency Group, LLCGroup PAC ID 6901214584, 33 clinicians
Alexandria Ep, LLCGroup PAC ID 5991235723, 9 clinicians

Practice addresses (Care Compare)

250 W 300
75 2
Roosevelt, UT 84066-2336
Phone (435) 722-4691

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4000

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122

5900 Coliseum Blvd
Alexandria, LA 71303-3714
Phone (713) 357-2535

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.47 of 100Reported as group
Improvement activities
40
Cost
73.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59098491205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lasalle Parish Hospital Service District #1 CurrentSince Mar 13, 2012 Accepting new patients
Hospitalist Medicine Physicians of Utah -TCG LLC CurrentSince Mar 2, 2023 Accepting new patients
Lasalle Parish Hospital Service District #1 CurrentSince Mar 13, 2012 Accepting new patients
Uintah Basin Medical Center CurrentSince Jun 1, 2023 Accepting new patients
Acs Primary Care Physicians Louisiana PC CurrentSince Aug 1, 2014 Accepting new patients
Monroe Emergency Physicians LLC CurrentSince May 10, 2021 Accepting new patients
Sound Physicians Emergency Medicine of Louisiana Inc CurrentSince Aug 31, 2018 Accepting new patients
Alexandria Ep, LLC CurrentSince Dec 30, 2024 Accepting new patients
River Oaks Emergency Group, LLC CurrentSince Jun 28, 2022 Accepting new patients
Northern Louisiana Emergency Physicians LLP CurrentSince Oct 7, 2019 Accepting new patients
Island Medical Winnsboro LLC CurrentSince Nov 1, 2017 Accepting new patients
Northern Louisiana Emergency Physicians, LLP CurrentSince Oct 7, 2019 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Sep 16, 2019 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Aug 31, 2018 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Sep 16, 2019 Accepting new patients
App of Mississippi Ed, LLC CurrentSince May 15, 2018 Accepting new patients
Uintah Basin Medical Center CurrentSince Jun 1, 2023 Accepting new patients
Wound Recovery Institute CurrentSince Jun 1, 2025 Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Miss-Lou Emergency Physicians Past Accepting new patients
Lefleur Emergency Physicians Past Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

5900 Coliseum Blvd
Alexandria, LA 71303
Phone (318) 386-8110

2351 Viking Dr
Bossier City, LA 71111
Phone (318) 681-4500

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

309 Jackson St
#C
Monroe, LA 71201
Phone (318) 966-4171

1102 N Pine Rd
Olla, LA 71465
Phone (318) 495-5302

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482

150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

50 E 200 S
Duchesne, UT 84021
Phone (435) 738-2426

210 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691

210 W 300 N
#753
Roosevelt, UT 84066
Phone (435) 722-3971

250 W 300 N
#752
Roosevelt, UT 84066
Phone (435) 722-4691

150 W 100 N
Vernal, UT 84078
Phone (435) 789-3342

Interoperability endpoints

  • Direct secure messaging: rsmith16365@direct.casso.us.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1184685158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SUNRISE RD",
            "city": "JONESVILLE",
            "state": "LA",
            "postal_code": "713435308",
            "telephone_number": "318-758-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 COLISEUM BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033714",
            "telephone_number": "318-386-8110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 W 300 N",
            "address_2": "75-3",
            "address_purpose": "LOCATION",
            "city": "Roosevelt",
            "state": "UT",
            "postal_code": "840662336",
            "country_code": "US",
            "telephone_number": "435-722-3971",
            "fax_number": "435-722-6104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RUSSEL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "59098491205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D6204",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.