Individual provider Active NPI

James Michael Smith, M.D.

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1205249083
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53891 Issued in KY
Practice address
2406 West Broadway
Louisville, KY 40211
Phone
(502) 751-7301
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101258652 VA
Family Medicine Physician 207Q00000X 53891 KY Primary

Addresses

Primary practice location

2406 West Broadway
Louisville, KY 40211

Mailing address

1729 S 3Rd St
Louisville, KY 40208-1917
Phone (502) 751-7301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 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

Enrollment IDStateProvider typePAC IDDetails
I20210607001329 KY Practitioner - Family Practice 6507152782 Reassigns benefits to 2 organizations
I20240723001794 OH Practitioner - Family Practice 6507152782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heyday Health Medical Group IncGroup PAC ID 5698183911, 7 clinicians

Practice addresses (Care Compare)

2333 Alexandria Dr
Lexington, KY 40504-3215
Phone (234) 200-0854

600 Superior Ave
Suite 1300
Cleveland, OH 44114-2654
Phone (234) 200-0854

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101258652VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heyday Health Medical Group Inc CurrentSince May 1, 2024 Accepting new patients
PMR Ky Holding, LLC CurrentSince Jan 1, 2022 Accepting new patients
PMR Ky Holding, LLC Past Accepting new patients

Locations

2333 Alexandria Dr
Lexington, KY 40504
Phone (833) 343-9329

1918 Hikes Ln
#102
Louisville, KY 40218
Phone (502) 473-4067

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

8019 Dixie Hwy
Ste 101
Louisville, KY 40258
Phone (502) 333-3121

2406 W Broadway
Louisville, KY 40211
Phone (502) 775-1211

3939 7th Street Rd
Louisville, KY 40216
Phone (502) 775-1211

600 Superior Ave
Ste 1300
Cleveland, OH 44114
Phone (216) 373-2659

143 Boardman Canfield Rd
Youngstown, OH 44512
Phone (234) 200-0854

Interoperability endpoints

  • Direct secure messaging: james.smith@306803888029700.direct.elationemr.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1205249083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 S 3RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081917",
            "telephone_number": "502-751-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 WEST BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40211",
            "telephone_number": "502-751-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101258652",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "53891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.