Shakeilla Lavern Smithbey, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

U5612 Issued in TX

Practice address

6912 FM 1488 Rd Ste a
Magnolia, TX 77354-1527

Phone

(832) 766-0631

Fax

(281) 419-6599

NPI assigned

Sep 15, 2011

Last updated

Aug 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, CA, SC3 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 3

Specialty

Family Practice

Education

Howard University College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peach Tree HealthcareGroup PAC ID 7416978440, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22650/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: shakeilla.howell.1@22650.direct.athenahealth.com
• Direct secure messaging: shakeilla.howell.shabazz.2@23284.direct.athenahealth.com
• Direct secure messaging: shakeilla.smithbey.1@22586.direct.athenahealth.com
• Direct secure messaging: shakeilla.smithbey.p1@direct.peachtreehealth.nextgenshare.com

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.

• Peach Tree Healthcare

  dba Peach Tree Clinic

  • Federally Qualified Health Center (FQHC)
  • Marysville, CA
  • NPI 1003863622
  Medicare reassignment Care Compare group NPD
• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515
  Medicare reassignment NPD
• Tree of Life Integrative Family Medicine, LLC

  • Family Medicine Physician
  • Linwood, NJ
  • NPI 1831700715
  NPD Authorized official
• Marcus Zachary, D.O., P.C.

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1710592621
  NPD
• Peach Tree Healthcare

  dba Peach Tree North Sacramento II

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1245043413
  NPD
• Virtua Medical Group, PA

  dba Virtua Reconstructive Orthopedics - Delran

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988
  NPD
• Virtua Medical Group, PA

  • Urgent Care Clinic/Center
  • Voorhees, NJ
  • NPI 1912457755
  NPD
• Dignity Health

  dba Mercy General Hospital

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1487694857
  NPD (past)
• Stamford Neurological Associates PC

  • Internal Medicine Physician
  • Stamford, CT
  • NPI 1275704702
  NPD (past)

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

• Rideout Memorial Hospital

  dba Adventist Health and Rideout

  • General Acute Care Hospital
  • Marysville, CA
  • NPI 1720088354
  Care Compare affiliation

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1205118361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 E 5TH ST APT 2",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024219",
            "telephone_number": "856-562-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 FM 1488 RD STE A",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773541527",
            "telephone_number": "832-766-0631",
            "fax_number": "281-419-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHBEY",
        "first_name": "SHAKEILLA",
        "middle_name": "LAVERN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10007400",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "457896",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "53081",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U5612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Lynn Sizemore
• Sleep Specialist of the Woodlands Diagnostic Center
• Sleep Specialists of the Woodlands LLC
• Smiles LLC
• Kacey Smith, M.S. CCC-SLP
• Itzel Solis, M.D.
• Bo Song, PHARM. D
• Nicole Sontheimer, PT
• Hasaan Sorathia, DMD
• Ernest E Sorenson, DPM

• Family Medicine Physician in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.