Thomas Larry Smith, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

101052153 Issued in VA

Practice address

2200 Opitz Blvd
Suite 100
Woodbridge, VA 22191-3321

Phone

(703) 492-4140

Fax

(703) 991-8104

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC, VA2 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

Specialty

Dermatology

Education

University of Mississippi School of Medicine, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin and Laser Surgery CenterGroup PAC ID 4082788302, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DBAADA

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.

• Skin and Laser Surgery Center

  • MOHS-Micrographic Surgery Physician
  • Vienna, VA
  • NPI 1720277932

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1184685976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 OPITZ BLVD",
            "address_2": "SUITE 100",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913321",
            "telephone_number": "703-492-4140",
            "fax_number": "703-991-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 OPITZ BLVD",
            "address_2": "SUITE 100",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913321",
            "telephone_number": "703-492-4140",
            "fax_number": "703-991-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "THOMAS",
        "middle_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101052153",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "101052153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900409",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Q Smith, MD
• Paula Anne Smith, PT
• Rishawn Smith
• Tara Devi Smith, PH.D.
• Thomas Smith
• Kendra Nykole Smither, RIC
• SMP Companionship and Care, LLC
• Katherine Snably, PSY.D.
• Soleil Residential Support Services LLC
• Solutions for Health Access & Resources PLLC

• Dermatology Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.