Active NPI
Nicholas James Smith, D.O.
- Emergency Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2016038251
- Practice address
- 615 S New Ballas Rd
Saint Louis, MO 63141-8221 - Phone
- (314) 251-6090
- NPI assigned
- Jun 2, 2015
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2016038251 | MO | Primary |
Addresses
Primary practice location
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Mailing address
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6090
Other practice location 1
1400 US Highway 61
Festus, MO 63028-4100
Phone (636) 933-1111
Other practice location 2
901 E 5th St
Washington, MO 63090-3127
Phone (636) 239-8011
Other practice location 3
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1906
Other practice location 4
434 N West St
Perryville, MO 63775-1359
Phone (573) 547-2536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
- Emergency Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (636) 251-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016038251 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospital Jefferson | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Perry | Current | Accepting new patients | |
| Mercy Hospital South | Current | Accepting new patients | |
| Southeastern Emergency Physicians of Memphis LLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Jefferson | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| University Health Physicians | Emergency Medicine | Current | Accepting new patients |
| St Louis Pathology Assoc Inc. | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital South | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Perry | Emergency Medicine | Current | Accepting new patients |
Locations
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201
2301 Holmes St
Kansas City, MO 64108
434 N West St
Perryville, MO 63775
Phone (573) 547-2530
5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
Interoperability endpoints
- nsmith@direct.cmh.edu
Organizations & group practices 13
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.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Emergency Medicine
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
Emergency Medicine
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1669456257
Emergency Medicine
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1437105277
MO
-
- Home Health Agency
- Festus, MO
- NPI 1396748588
-
- Rural Health Clinic/Center
- Perryville, MO
- NPI 1639858855
-
- Medicare Defined Swing Bed Hospital Unit
- Saint Louis, MO
- NPI 1033714209
-
- Rural Health Clinic/Center
- Washington, MO
- NPI 1104912997
-
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1215317540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "314-251-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "314-251-6090"
}
],
"practiceLocations": [
{
"address_1": "1400 US Highway 61",
"address_purpose": "LOCATION",
"city": "Festus",
"state": "MO",
"postal_code": "630284100",
"country_code": "US",
"telephone_number": "636-933-1111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 E 5th St",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "MO",
"postal_code": "630903127",
"country_code": "US",
"telephone_number": "636-239-8011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10010 Kennerly Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631282106",
"country_code": "US",
"telephone_number": "314-525-1906",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "434 N West St",
"address_purpose": "LOCATION",
"city": "Perryville",
"state": "MO",
"postal_code": "637751359",
"country_code": "US",
"telephone_number": "573-547-2536",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "NICHOLAS",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-02",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2016038251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.