Individual provider Active NPI

Stephen Paul Smik, DPM

  • Podiatrist
  • Cleveland, OH
National Provider Identifier
1306957162
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36-00-2511-S Issued in OH
Practice address
3386 Warren Rd
Cleveland, OH 44111-2031
Phone
(216) 941-0233
Fax
(216) 941-0235
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36-00-2511-S OH Primary

Addresses

Primary practice location

3386 Warren Rd
Cleveland, OH 44111-2031

Mailing address

3386 Warren Rd
Cleveland, OH 44111-2031
Phone (216) 941-0233

Other identifiers 2

IdentifierTypeStateIssuer
0740336MedicaidOH
480014834OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120105000636 OH Practitioner - Podiatry 2264454578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3386 Warren Rd
Cleveland, OH 44111-2031
Phone (216) 941-0233

Merit-based Incentive Payment System (MIPS)

Final score
91.55 of 100Reported as group
Quality
73.4
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue44
Removal of nail tissue1071
Removal or shaving of skin growth397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Ambulatory Foot Cen Podiatrist CurrentSince Jun 1, 1990 Accepting new patients

Locations

3386 Warren Rd
Cleveland, OH 44111
Phone (216) 521-0233

Interoperability endpoints

  • Direct secure messaging: drssmik@direct.meditouchehr.com

Organizations & group practices 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1306957162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3386 WARREN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441112031",
            "telephone_number": "216-941-0233",
            "fax_number": "216-941-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3386 WARREN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441112031",
            "telephone_number": "216-941-0233",
            "fax_number": "216-941-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIK",
        "first_name": "STEPHEN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-00-2511-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0740336",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480014834",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.