NPIMap

Individual provider Active NPI

Steven Brad Smith, M.A., CCC-A

  • Audiologist
  • Albuquerque, NM
National Provider Identifier
1205824703
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3541 Issued in NM
Practice address
9500 Montomery NE
Suite 215
Albuquerque, NM 87111
Phone
(505) 247-4224
Fax
(505) 247-1772
NPI assigned
Oct 10, 2005
Last updated
Mar 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3541 NM Primary

Addresses

Primary practice location

9500 Montomery NE
Suite 215
Albuquerque, NM 87111

Mailing address

6701 Avenida la Costa NE
Albuquerque, NM 87109-4041
Phone (505) 823-2051

Other identifiers 1

IdentifierTypeStateIssuer
71530274MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130619000663 OR Practitioner - Qualified Audiologist 8729068366 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 8527016039, 200 clinicians
Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians

Practice addresses (Care Compare)

4010 Aerial Way
Eugene, OR 97402-9757
Phone (541) 242-8300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3541NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Jul 1, 2016 Accepting new patients
Hearing Associates, Inc. Audiologist CurrentSince Dec 5, 2018 Accepting new patients
Peacehealth CurrentSince Jul 1, 2016 Accepting new patients
Peacehealth Medical Group CurrentSince May 4, 2015 Accepting new patients
Peacehealth CurrentSince Dec 14, 2023 Accepting new patients
The Hearing Group of New Mexico, LLC Audiologist PastSince Aug 7, 2022 Accepting new patients
Albuquerque Speech Language and Hearing Center Past Accepting new patients

Locations

1200 Hilyard St
Ste 620
Eugene, OR 97401
Phone (458) 205-6500

401 E 10th Ave
Ste 110
Eugene, OR 97401
Phone (503) 686-3505

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700

Organizations & group practices 7

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.

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1205824703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AVENIDA LA COSTA NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094041",
            "telephone_number": "505-823-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MONTOMERY NE",
            "address_2": "SUITE 215",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87111",
            "telephone_number": "505-247-4224",
            "fax_number": "505-247-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEVEN",
        "middle_name": "BRAD",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NM",
            "license": "3541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71530274",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.