Individual provider Active NPI

Ian Smith, MD

  • Interventional Cardiology Physician
  • Irmo, SC
National Provider Identifier
1306869060
Registry record updated May 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
20028 Issued in SC
Practice address
1 Wellness Blvd Ste 109
Irmo, SC 29063-2872
Phone
(803) 749-1111
Fax
(803) 749-0050
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 20028 SC Primary

Addresses

Primary practice location

1 Wellness Blvd Ste 109
Irmo, SC 29063-2872

Mailing address

7182 Woodrow St Ste 200
Irmo, SC 29063-2958
Phone (803) 749-1111

Other practice location 1

1 Wellness Blvd Ste 202
Irmo, SC 29063-2873
Phone (803) 749-1111

Other practice location 2

7021 Saint Andrews Rd # 2
Columbia, SC 29212-1177
Phone (803) 749-1111

Other practice location 3

7182 Woodrow St Ste 200
Irmo, SC 29063
Phone (803) 749-1111

Other identifiers 2

IdentifierTypeStateIssuer
20028OtherSCSC MEDICAL LICENSE
GP0749MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20121022000539 SC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2668622911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Medical University of South Carolina College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Wellness Blvd
Suite 109
Irmo, SC 29063-2872
Phone (803) 749-1111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Internal Medicine Associates and Rehabilitation,L.L.C. CurrentSince Jan 1, 2024 Accepting new patients
Advanced Cardiology Consultants PastSince May 22, 1994 Accepting new patients
Carolinas Medical Alliance, Inc Past Accepting new patients

Locations

7021 Saint Andrews Rd
#2
Columbia, SC 29212
Phone (803) 749-1111

2611 Forest Dr
Ste 230
Columbia, SC 29204
Phone (803) 252-6644

1901 Main St
#1105
Columbia, SC 29201

1 Wellness Blvd
Ste 202
Irmo, SC 29063
Phone (803) 470-7040

7182 Woodrow St
Ste 200
Irmo, SC 29063
Phone (803) 749-1111

1 Wellness Blvd
Ste 109
Irmo, SC 29063
Phone (803) 749-1111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIGABA
  • Direct secure messaging: ismith380437@direct.musc.edu
  • Direct secure messaging: ismith739084@direct.ghs.myhfn.org

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1306869060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7182 WOODROW ST STE 200",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632958",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WELLNESS BLVD STE 109",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632872",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Wellness Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290632873",
            "country_code": "US",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7021 Saint Andrews Rd # 2",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121177",
            "country_code": "US",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7182 Woodrow St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "29063",
            "country_code": "US",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "IAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "SC",
            "license": "20028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAL  LICENSE",
            "identifier": "20028",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0749",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

Verify at the official NPI Registry.