Individual provider Active NPI

Jason A Smith, MD

  • Otolaryngology Physician
  • North Little Rock, AR
National Provider Identifier
1225170376
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
E5080 Issued in AR
Practice address
4901 Fairway Ave
Suite C
North Little Rock, AR 72116-6923
Phone
(501) 753-8444
Fax
(501) 753-9170
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X E5080 AR Primary

Addresses

Primary practice location

4901 Fairway Ave
Suite C
North Little Rock, AR 72116-6923

Mailing address

10201 Kanis Rd
Little Rock, AR 72205-6203
Phone (501) 227-5050

Other identifiers 3

IdentifierTypeStateIssuer
E5080OtherARSTATE LICENSE
164668001MedicaidAR
P00419128OtherARRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20070525000353 AR Practitioner - Otolaryngology 4385741339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Arkansas College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10201 Kanis Rd
Little Rock, AR 72205-6203
Phone (501) 221-5050

Hospital & facility affiliations

  • Baptist Health Medical Center Heber Springs Hospital, Heber Springs, AR, CCN 041312
  • Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036
  • CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007
  • Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071

Merit-based Incentive Payment System (MIPS)

Final score
87.55 of 100Reported as group
Quality
93.4
Promoting interoperability
91
Improvement activities
40
Cost
72.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision408
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E5080ARMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Otolaryngology Center, P.a. CurrentSince Jul 1, 2007 Accepting new patients
Arkansas Otolaryngology Center, P.a. Otolaryngology CurrentSince Jul 1, 2007 Accepting new patients

Locations

10201 Kanis Rd
Little Rock, AR 72205
Phone (501) 221-5050

4901 Fairway Ave
Ste C
North Little Rock, AR 72116
Phone (501) 753-8444

4701 Fairway Ave
Ste C
North Little Rock, AR 72116
Phone (501) 753-8444

Interoperability endpoints

  • Direct secure messaging: jason.smith.p1@direct.araoc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1225170376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056203",
            "telephone_number": "501-227-5050",
            "fax_number": "501-227-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 FAIRWAY AVE",
            "address_2": "SUITE C",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166923",
            "telephone_number": "501-753-8444",
            "fax_number": "501-753-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JASON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AR",
            "license": "E5080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "E5080",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164668001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00419128",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.