Individual provider Active NPI

Norman Courtney Smith, M.D.

  • Internal Medicine Physician
  • Bowie, MD
National Provider Identifier
1184776049
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D41240 Issued in MD
Practice address
2905 Mitchellville Rd
Suite 104
Bowie, MD 20716-1385
Phone
(301) 218-3884
Fax
(301) 218-3886
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D41240 MD Primary
Internal Medicine Physician 207R00000X 20499 DC
Internal Medicine Physician 207R00000X 50112 VA

Addresses

Primary practice location

2905 Mitchellville Rd
Suite 104
Bowie, MD 20716-1385

Mailing address

2905 Mitchellville Rd
Suite 104
Bowie, MD 20716-1385
Phone (301) 218-3884

Other identifiers 2

IdentifierTypeStateIssuer
0496240MedicaidDC
128061900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20120321000194 DC Practitioner - Internal Medicine 1850559949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2905 Mitchellville Rd
Suite 104
Bowie, MD 20716-1307
Phone (301) 218-6884

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149
  • Medstar Health Home Care Home health agency, Hyattsville, MD, CCN 217150

Merit-based Incentive Payment System (MIPS)

Final score
30.63 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
82.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20499DCMDInternal Medicine Physician
D41240MDMDInternal Medicine Physician
50112VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Physicians LLC Internal Medicine CurrentSince Jul 1, 2001 Accepting new patients

Locations

2905 Mitchellville Rd
Ste 104
Bowie, MD 20716
Phone (301) 218-3884

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 2

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1184776049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 MITCHELLVILLE RD",
            "address_2": "SUITE 104",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161385",
            "telephone_number": "301-218-3884",
            "fax_number": "301-218-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 MITCHELLVILLE RD",
            "address_2": "SUITE 104",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161385",
            "telephone_number": "301-218-3884",
            "fax_number": "301-218-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NORMAN",
        "middle_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D41240",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "20499",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "50112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0496240",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128061900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.