Individual provider Active NPI

Jerry W Smartt Jr., MD

  • Neurology Physician
  • Carmel, IN
National Provider Identifier
1306850722
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01058330A Issued in IN
Practice address
9640 Commerce Dr
Suite 412
Carmel, IN 46032-7640
Phone
(317) 872-4545
Fax
(317) 872-3959
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01058330A IN Primary

Addresses

Primary practice location

9640 Commerce Dr
Suite 412
Carmel, IN 46032-7640

Mailing address

9640 Commerce Dr
Suite 412
Carmel, IN 46032-7640
Phone (317) 872-4545

Other identifiers 1

IdentifierTypeStateIssuer
200506690MedicaidIN

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20041206000762 IN Practitioner - Neurology 4284690173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Indiana University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9660 Commerce Dr
Suite 202
Carmel, IN 46032-7640
Phone (317) 872-4545

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
Circle City Medical Group, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jerry.smartt@smarttneuro.directbygreenway.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1306850722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9640 COMMERCE DR",
            "address_2": "SUITE 412",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327640",
            "telephone_number": "317-872-4545",
            "fax_number": "317-872-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9640 COMMERCE DR",
            "address_2": "SUITE 412",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327640",
            "telephone_number": "317-872-4545",
            "fax_number": "317-872-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMARTT",
        "first_name": "JERRY",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01058330A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200506690",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.