NPIMap

Individual provider Active NPI

Ivan Quintanar Smith, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1235365800
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E6215 Issued in AR
Practice address
1111 Amsterdam Ave
New York, NY 10025-1716
Phone
(212) 523-7333
NPI assigned
Jun 9, 2009
Last updated
Dec 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X NU
Internal Medicine Physician 207R00000X E6215 AR Primary

Addresses

Primary practice location

1111 Amsterdam Ave
New York, NY 10025-1716

Mailing address

515 W 59TH St Apt 27G
New York, NY 10019-1042
Phone (646) 660-5755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20091021000706 AR Practitioner - Internal Medicine 6103963277 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

1600 W 40TH Ave
Pine Bluff, AR 71603-6301

1601 W 40TH Ave
Pine Bluff, AR 71603-6346

1609 W 40TH Ave
Pine Bluff, AR 71603-6319

3333 Springhill Dr
North Little Rock, AR 72117-2922
Phone (501) 851-7402

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E6215ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Health, Inc CurrentSince Oct 28, 2017 Accepting new patients
Jefferson Hospital Association, Inc CurrentSince Jul 16, 2024 Accepting new patients
Baptist Health CurrentSince Jan 13, 2020 Accepting new patients
Ozark Health, Inc CurrentSince Oct 28, 2017 Accepting new patients
Southeast Arkansas Hospitalists, LLP CurrentSince Nov 15, 2015 Accepting new patients
Baptist Health CurrentSince Jan 13, 2020 Accepting new patients
Arkansas Health Group Internal Medicine CurrentSince Mar 1, 2010 Accepting new patients
Jefferson Hospital Association, Inc CurrentSince Jul 16, 2024 Accepting new patients
Arkansas Health Group CurrentSince Mar 1, 2010 Accepting new patients

Locations

2500 Highway 65 S
Clinton, AR 72031
Phone (501) 745-7000

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

9601 Interstate 630
#7
Little Rock, AR 72205
Phone (501) 202-3995

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

1601 W 40th Ave
Ste 301
Pine Bluff, AR 71603
Phone (870) 541-4285

1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/ozarkh-5b939301
  • Direct secure messaging: iquintanar5180@direct.baptist-healthar.org

Organizations & group practices 9

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 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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1235365800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W 59TH ST APT 27G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191042",
            "telephone_number": "646-660-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251716",
            "telephone_number": "212-523-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANAR SMITH",
        "first_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E6215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.