Individual provider Active NPI

Camron Brandon Smith, DO

  • Diagnostic Radiology Physician
  • Kansas City, KS
National Provider Identifier
1306296025
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2021-00951 Issued in NC
Practice address
3901 Rainbow Blvd # Ms 4032
Kansas City, KS 66160-8500
Phone
(913) 588-1847
NPI assigned
Jun 14, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2021-00951 NC Primary
Mammography Clinic/Center 261QR0206X 05-43247 KS

Addresses

Primary practice location

3901 Rainbow Blvd # Ms 4032
Kansas City, KS 66160-8500

Mailing address

3901 Rainbow Blvd # Ms 4032
Kansas City, KS 66160-8500
Phone (913) 588-1847

Other practice location 1

20 Duke Medicine Cir
Durham, NC 27710

Other identifiers 1

IdentifierTypeStateIssuer
05-43247OtherKSSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220815002370 MO Practitioner - Diagnostic Radiology 7517252448 Reassigns benefits to 1 organization
I20220815002952 KS Practitioner - Diagnostic Radiology 7517252448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kansas School of Med (KC/Wich/Sal), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

10710 Nall Ave
Overland Park, KS 66211-1206
Phone (913) 588-1227

10720 Nall Ave
Overland Park, KS 66211-1206

10790 Nall Ave
Overland Park, KS 66211-1206
Phone (913) 588-1227

11300 Corporate Ave
Suite 342
Lenexa, KS 66219-1368

12000 W 151St St
Olathe, KS 66062-7200
Phone (913) 588-1227

1901 W 47TH PL
Suite 105
Westwood, KS 66205-1834
Phone (913) 588-1227

20375 W 151St St
Olathe, KS 66160-0001
Phone (913) 588-1227

2100 Baptiste Dr
Paola, KS 66071-1314
Phone (913) 588-1227

2102 Baptiste Dr
Paola, KS 66071-1314

21120 W 152ND St
Olathe, KS 66061-5307
Phone (913) 588-1227

2650 Shawnee Mission Pkwy
Westwood, KS 66205-2003

3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-7775

3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-7013

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

4000 Cambridge St
Kansas City, KS 66160-8500

4000 Cambridge St
Suite G600
Kansas City, KS 66160-8501
Phone (913) 588-1227

7405 Renner Rd
Shawnee, KS 66217-9414
Phone (913) 588-1227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021-00951NCMDDiagnostic Radiology Physician
05-43247KSMDMammography Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Diagnostic Radiology CurrentSince Jul 11, 2022 Accepting new patients
Kansas University Physicians Inc CurrentSince Jul 11, 2022 Accepting new patients
Kansas University Physicians Inc Internal Medicine Current Accepting new patients
Kansas University Physicians Inc Current Accepting new patients

Locations

3901 Rainbow Blvd
#2027
Kansas City, KS 66160
Phone (913) 588-3974

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

3901 Rainbow Blvd
#4032
Kansas City, KS 66160
Phone (913) 588-1847

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

2790 Clay Edwards Dr
Ste 405
North Kansas City, MO 64116
Phone (913) 588-3117

Interoperability endpoints

  • Direct secure messaging: csmith535334@direct.kuha.org

Organizations & group practices 4

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 4

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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1306296025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD # MS 4032",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608500",
            "telephone_number": "913-588-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD # MS 4032",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608500",
            "telephone_number": "913-588-1847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Duke Medicine Cir",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "27710",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAMRON",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2021-00951",
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "KS",
            "license": "05-43247",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "05-43247",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.