Kenneth Randall Smith, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD.29630 Issued in AL

Practice address

833 Saint Vincents Dr Ste 207
Birmingham, AL 35205-1609

Phone

(205) 591-2311

Fax

(205) 930-9222

NPI assigned

Mar 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Alabama School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

83.33

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kenneth R. Smith, P.C.

  • Ophthalmology Physician
  • Birmingham, AL
  • NPI 1346470432
  Medicare reassignment NPD Authorized official
• DRS Turnbull & Coburn PC

  • Ophthalmic Technician/Technologist
  • Birmingham, AL
  • NPI 1295036234
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1225152192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR STE 207",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051609",
            "telephone_number": "205-591-2311",
            "fax_number": "205-930-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR STE 207",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051609",
            "telephone_number": "205-591-2311",
            "fax_number": "205-930-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KENNETH",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-18",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M2116",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME100306",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "MD.29630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "6360390001",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrina Hazen Smith, CRNP
• Kayla Smith, AU.D.
• Kelcie Smith
• Kelsey Hayes Smith, CRNP
• Kenneth D Smith, DO
• Kimitria Smith, LICSW
• Kristen Marie Smith
• Lacey Smith, MSN, CRNP, PNP-PC
• Laura S Smith, RD
• Laura Skelton Smith, M.D.

• Ophthalmology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Ophthalmology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.

Verify at the official NPI Registry.