NPIMap

Individual provider Active NPI

Ronald Lewis Smith, MD

  • Internal Medicine Physician
  • Reno, NV
National Provider Identifier
1215927124
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4025 Issued in NV
Practice address
236 W 6TH St
#206
Reno, NV 89503-4517
Phone
(775) 329-3002
Fax
(775) 786-8462
NPI assigned
Oct 24, 2005
Last updated
Mar 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4025 NV Primary

Addresses

Primary practice location

236 W 6TH St
#206
Reno, NV 89503-4517

Mailing address

236 W 6TH St
#206
Reno, NV 89503-4517
Phone (775) 329-3002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101221001059 NV Practitioner - Internal Medicine 7517155260 Practice locations: Reno, NV

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
May accept Medicare assignment
Group practices
Custom Physical Therapy Limited PartnershipGroup PAC ID 1355252842, shared by 2 NPIs, 76 clinicians

Practice addresses (Care Compare)

236 W 6TH St
Suite 407
Reno, NV 89503-4532
Phone (775) 329-3002

440 E Golden Valley Rd
Reno, NV 89506-5722
Phone (775) 360-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4025NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven L Recchia MD LTD Internal Medicine PastSince Feb 1, 1999 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1215927124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W 6TH ST",
            "address_2": "#206",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034517",
            "telephone_number": "775-329-3002",
            "fax_number": "775-786-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W 6TH ST",
            "address_2": "#206",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034517",
            "telephone_number": "775-329-3002",
            "fax_number": "775-786-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RONALD",
        "middle_name": "LEWIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "4025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.