Chad Derek Smith, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4301086270 Issued in MI

Practice address

6071 West Outer Dr.
Detroit, MI 48235

Phone

(313) 966-1020

NPI assigned

Mar 5, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Emergency Medicine

Education

University of California, Davis School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardinal Emergency Providers Professional CorporationGroup PAC ID 3072005354, 28 clinicians

Redding RancheriaGroup PAC ID 7810969847, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Hospital Hospital, Weaverville, CA, CCN 051315
• Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764

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

• Cardinal Emergency Providers Professional Corporation

  • Emergency Medicine Physician
  • Redding, CA
  • NPI 1356226690
  Medicare reassignment Care Compare group NPD
• Redding Rancheria

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1104859354
  Medicare reassignment Care Compare group
• Mountain Communities Healthcare District

  dba Trinity Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Weaverville, CA
  • NPI 1407027568
  Medicare reassignment NPD
• Mountain Communities Healthcare District

  dba Trinity Hospital

  • Critical Access Hospital
  • Weaverville, CA
  • NPI 1750462271
  Medicare reassignment NPD
• Southern Inyo Healthcare District

  • Critical Access Hospital
  • Lone Pine, CA
  • NPI 1831128602
  Medicare reassignment NPD
• Mountain Communities Healthcare District

  dba Trinity Hospital Skilled Nursing Facility

  • Skilled Nursing Facility
  • Weaverville, CA
  • NPI 1154404010
  NPD
• Southern Inyo Healthcare District

  • Rural Health Clinic/Center
  • Lone Pine, CA
  • NPI 1063589174
  NPD
• Mountain Communities Healthcare Dist

  dba Trinity Community Health Clinic

  • Rural Health Clinic/Center
  • Weaverville, CA
  • NPI 1356422307
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mountain Communities Healthcare District

  dba Trinity Hospital

  • Critical Access Hospital
  • Weaverville, CA
  • NPI 1750462271
  Care Compare affiliation
• Prime Healthcare Services - Shasta LLC

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1205089026
  Care Compare affiliation

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211587200000",
    "number": "1265602320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6071 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352624",
            "telephone_number": "313-966-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 WEST OUTER DR.",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48235",
            "telephone_number": "313-966-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHAD",
        "middle_name": "DEREK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301086270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calvin Smith
• Cameron Smith
• Carla M Smith, CSW
• Carly Smith, LMSW
• Carmen Renee Smith, MSN, RN
• Chanelle Smith, RN
• Charlene Smith, MD
• Charles Smith
• Charles Giles Smith III, M.D.
• Chelsea Levonia Smith

• Emergency Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2008; 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.