NPIMap

Organization Active NPI

Smithfield Radiation Oncology, LLC

  • Radiation Oncology Physician
  • Smithfield, NC
National Provider Identifier
1255360459
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
SMITHFIELD RADIATION ONCOLOGY, LLC
Practice address
514 N Brightleaf Blvd
Suite 1200
Smithfield, NC 27577-4486
Phone
(919) 209-3555
Fax
(919) 938-7400
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Kevin Cielinski
Title
Cfo
Phone
(919) 938-6629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

514 N Brightleaf Blvd
Suite 1200
Smithfield, NC 27577-4486

Mailing address

514 N Brightleaf Blvd
Suite 1200
Smithfield, NC 27577-4407
Phone (919) 209-3555

Other identifiers 2

IdentifierTypeStateIssuer
016RJOtherNCBLUE CROSS/BLUE SHIELD
89016RJMedicaidNC

Other names 1

  • UNC Radiation Oncology at Smithfield Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090210000776 NC Part B Supplier - Clinic/Group Practice 6709835846 Receives reassigned benefits from 32 practitioners
Practice locations: Smithfield, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1255360459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 N BRIGHTLEAF BLVD",
            "address_2": "SUITE 1200",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774407",
            "telephone_number": "919-209-3555",
            "fax_number": "919-938-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 N BRIGHTLEAF BLVD",
            "address_2": "SUITE 1200",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774486",
            "telephone_number": "919-209-3555",
            "fax_number": "919-938-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHFIELD RADIATION ONCOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "CIELINSKI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-938-6629"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "016RJ",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89016RJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNC Radiation Oncology at Smithfield",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNC Radiation Oncology at Smithfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.