Active NPI
Kwende Smith, DPM
- Podiatrist
- North Chelmsford, MA
National Provider Identifier
1205875341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2302
- Practice address
- 10 Research PL
Suite 206
North Chelmsford, MA 01863-2439 - Phone
- (978) 275-1390
- Fax
- (978) 275-1394
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2302 | MA | Primary |
| Podiatrist | 213E00000X | 0312 | NH |
Addresses
Primary practice location
10 Research PL
Suite 206
North Chelmsford, MA 01863-2439
Mailing address
PO Box 2200
Amherst, NH 03031-4200
Phone (603) 673-9411
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0708437 | Medicaid | MA | |
| 27-01376 | Other | MA | EVERCARE |
| 94141 | Other | MA | FALLON COMMUNITY HEALTH |
| Y71125 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
87 Washington St
Taunton, MA 02780-2429
Phone (508) 822-3405
Hospital & facility affiliations
- Lowell General Hospital
- Brown University Health Morton Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 352 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 3116 |
| Removal or shaving of skin growth | 250 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2302 | MA | MD | Occupational Therapy Assistant |
| 0312 | NH | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England Podiatry Group Inc | Current | Accepting new patients | |
| Lee B. Kaufman DPM.,P.C. | Past | Accepting new patients | |
| Cambridge Podiatry Network PC | Podiatrist | Past | Accepting new patients |
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.
-
- Foot & Ankle Surgery Podiatrist
- Taunton, MA
- NPI 1134522204
-
- Foot Surgery Podiatrist
- Medford, MA
- NPI 1134260169
-
- Foot Surgery Podiatrist
- Taunton, MA
- NPI 1588856785
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Taunton, MA
- NPI 1609603877
-
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205875341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2200",
"city": "AMHERST",
"state": "NH",
"postal_code": "030314200",
"telephone_number": "603-673-9411",
"fax_number": "603-673-9899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 RESEARCH PL",
"address_2": "SUITE 206",
"city": "NORTH CHELMSFORD",
"state": "MA",
"postal_code": "018632439",
"telephone_number": "978-275-1390",
"fax_number": "978-275-1394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KWENDE",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "2302",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NH",
"license": "0312",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0708437",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "27-01376",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH",
"identifier": "94141",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y71125",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Chelmsford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.