Jacqueline J Smith, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MD118130 Issued in MO

Practice address

2521 Glenn Hendren Dr
Suite 402
Liberty, MO 64068

Phone

(816) 781-8445

Fax

(816) 781-8413

NPI assigned

Jan 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO, KS2 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

Internal MedicineAlso: Pulmonary Disease

Education

University of Kansas School of Med (KC/Wich/Sal), 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Inpatient Consultants of Kansas PAGroup PAC ID 9335329556, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gentiva Hospice, Lenexa, KS, CCN 171569
• University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
• Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
• Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176
• Hoeger House Nursing home, Olathe, KS, CCN 175491

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Inpatient Consultants of Kansas PA

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1548563737
  Medicare reassignment Care Compare group NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  MO

  Medicare reassignment Care Compare group
• Inpatient Consultants of Kansas PA

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1861795635
  Medicare reassignment NPD
• CS Pacs 3 Midwest LLC

  • Hospitalist Physician
  • Dayton, OH
  • NPI 1972368785

  KS, MO

  Medicare reassignment NPD
• Kansas Post Acute Medical Services 1 PA

  • Hospitalist Physician
  • Colwich, KS
  • NPI 1124557020
  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  KS, MO

  Medicare reassignment NPD
• Ipc Pac Healthcare Services of Missouri Inc

  • Hospitalist Physician
  • Sikeston, MO
  • NPI 1326497587
  Medicare reassignment
• Inpatient Consultants of Kansas PA

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1225331002
  NPD
• Cedar Lake Village, Inc

  dba Hoeger House

  • Skilled Nursing Facility
  • Olathe, KS
  • NPI 1255345427
  NPD (past)
• Medicalodges, Inc.

  dba Medicalodges Paola

  • Skilled Nursing Facility
  • Paola, KS
  • NPI 1417045139
  NPD (past)

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

• Cedar Lake Village, Inc

  dba Hoeger House

  • Skilled Nursing Facility
  • Olathe, KS
  • NPI 1255345427

  Nursing home

  Care Compare affiliation
• Midwest Division-Oprmc LLC

  dba Overland Park Regional Medical Center

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1578500484
  Care Compare affiliation
• Odyssey Healthcare of Kansas City, LLC

  dba Gentiva

  • Community Based Hospice Care Agency
  • Lenexa, KS
  • NPI 1467782516
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  dba AdventHealth Shawnee Mission

  • General Acute Care Hospital
  • Merriam, KS
  • NPI 1023171634
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • Clinical Medical Laboratory
  • Merriam, KS
  • NPI 1235792003

  Hospital

  Care Compare affiliation
• University of Kansas Hospital Authority

  dba University of Kansas Hospital / University of Kansas Cancer Center

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1629369681
  Care Compare affiliation
• University of Kansas Hospital Authority

  dba The University of Kansas Hospital

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1649259656
  Care Compare affiliation

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1194704312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 GLENN HENDREN DR",
            "address_2": "SUITE 402",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683388",
            "telephone_number": "816-781-8445",
            "fax_number": "816-781-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 GLENN HENDREN DR",
            "address_2": "SUITE 402",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "64068",
            "telephone_number": "816-781-8445",
            "fax_number": "816-781-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACQUELINE",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "MD118130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5177783",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204660609",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Smith, FNP
• Christine N Smith, FNP-C
• Destiny Smith
• Emily Kaye Smith
• Garrett Smith
• Julian Doyle Smith
• McKenzie Rose Smith
• Piper-Danay Smith, NP
• Timothy John Smith, O.D.
• Tommie Smith

• Pulmonary Disease Physician in Liberty, MO
• Providers in Liberty, MO by specialty
• Pulmonary Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.