Active NPI
Robert E Smith, M.D.
- Pulmonary Disease Physician
- Kettering, OH
National Provider Identifier
1205924859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 35-05-0481
- Practice address
- 3080 Ackerman Blvd
Ste 100
Kettering, OH 45429-3555 - Phone
- (937) 396-1605
- Fax
- (937) 396-1607
- NPI assigned
- Oct 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 35-05-0481 | OH | Primary |
Addresses
Primary practice location
3080 Ackerman Blvd
Ste 100
Kettering, OH 45429-3555
Mailing address
3080 Ackerman Blvd
Ste 100
Kettering, OH 45429-3555
Phone (937) 396-1605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0552245 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Michigan Medical School, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3080 Ackerman Blvd
Kettering, OH 45429-3562
Phone (937) 961-1605
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dayton Chest Medicine Inc | Current | Accepting new patients |
Locations
130 Martz St
Ste 5
Greenville, OH 45331
Phone (937) 396-1605
3080 Ackerman Blvd
Ste 100
Kettering, OH 45429
Phone (937) 396-1605
Organizations & group practices 1
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.
-
- Specialist
- Kettering, OH
- NPI 1366469207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233273600000",
"number": "1205924859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3080 ACKERMAN BLVD",
"address_2": "STE 100",
"city": "KETTERING",
"state": "OH",
"postal_code": "454293555",
"telephone_number": "937-396-1605",
"fax_number": "937-396-1607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3080 ACKERMAN BLVD",
"address_2": "STE 100",
"city": "KETTERING",
"state": "OH",
"postal_code": "454293555",
"telephone_number": "937-396-1605",
"fax_number": "937-396-1607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ROBERT",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2009-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OH",
"license": "35-05-0481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0552245",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.