Jacob Daniel Smith, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

04-47899 Issued in KS

Practice address

11501 Granada St
Leawood, KS 66211-1454

Phone

(913) 451-3722

Fax

(913) 451-5000

NPI assigned

Mar 30, 2017

Sex

Male

Sole proprietor

No

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 KS

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

Plastic and Reconstructive Surgery

Education

University of Kansas School of Med (KC/Wich/Sal), 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care LLCGroup PAC ID 4385544600, 49 clinicians

Associated Plastic Surgeons PAGroup PAC ID 4486642006, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Menorah Medical Center Hospital, Overland Park, KS, CCN 170182
• Cass Regional Medical Center Hospital, Harrisonville, MO, CCN 261324
• Research Medical Center Hospital, Kansas City, MO, CCN 260027
• Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
• NKC Health Hospital, North Kansas City, MO, CCN 260096

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacob.smithmd.p1@direct.dvc.nextgenshare.com

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.

• Associated Plastic Surgeons PA

  • Specialist
  • Leawood, KS
  • NPI 1366441966
  Medicare reassignment Care Compare group NPD
• Eye Care, LLC

  • Optometrist
  • Leawood, KS
  • NPI 1881884211
  Medicare reassignment Care Compare group NPD
• Eye Care, LLC

  • Optometrist
  • Raymore, MO
  • NPI 1023597127
  NPD

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

• Midwest Division - MMC, LLC

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1255378337
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • General Acute Care Hospital
  • Merriam, KS
  • NPI 1023171634
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • Clinical Medical Laboratory
  • Merriam, KS
  • NPI 1235792003

  Hospital

  Care Compare affiliation
• Cass Regional Medical Center

  • Critical Access Hospital
  • Harrisonville, MO
  • NPI 1477535326
  Care Compare affiliation
• Midwest Division - RMC, LLC

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1134187842
  Care Compare affiliation
• North Kansas City Hospital

  • Skilled Nursing Facility
  • North Kansas City, MO
  • NPI 1437103215

  Hospital

  Care Compare affiliation
• North Kansas City Hospital

  • General Acute Care Hospital
  • North Kansas City, MO
  • NPI 1629062799
  Care Compare affiliation

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1306378195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 GRANADA LANE",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111454",
            "telephone_number": "913-451-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 GRANADA ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111454",
            "telephone_number": "913-451-3722",
            "fax_number": "913-451-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACOB",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "KS",
            "license": "04-47899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raelynn Slipke, T-MFT
• Cody Wiley Sliva, PT, DPT
• Jayme Smart
• Smile Line Studio LLC
• Smiley Dental, LLC
• Kerry Smith, MSPT
• Michael Smith
• David S. Sneid, M.D.
• Matthew C Sniegowski, MD
• Amy Snodgrass

• Plastic Surgery Physician in Leawood, KS
• Providers in Leawood, KS by specialty
• Plastic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.