Individual provider Active NPI

David G Smith, M.D.

  • Cardiovascular Disease Physician
  • Painesville, OH
National Provider Identifier
1316980246
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35064610S Issued in OH
Practice address
7515 Fredle Dr
Painesville, OH 44077-9406
Phone
(440) 853-8208
Fax
(216) 370-3249
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35064610S OH Primary

Addresses

Primary practice location

7515 Fredle Dr
Painesville, OH 44077-9406

Mailing address

10570 Stafford Rd
Chagrin Falls, OH 44023-5242
Phone (440) 666-5152

Other identifiers 1

IdentifierTypeStateIssuer
2086282MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AK2 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
I20040811000118 OH Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 5799757829 Reassigns benefits to 2 organizations
I20150406001233 AK Practitioner - Internal Medicine 5799757829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northeastern Ohio University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vein Specialists of Alaska LLCGroup PAC ID 7113151622, 3 clinicians
Smith Vein Institute LLCGroup PAC ID 4486779543, 3 clinicians

Practice addresses (Care Compare)

2550 Denali St
Suite 1307
Anchorage, AK 99503-2752
Phone (907) 644-6346

2851 E Palmer Wasilla Hwy
Suite 4
Wasilla, AK 99654-7499
Phone (907) 631-3799

34851 Kenai Spur Hwy
Suite 1
Soldotna, AK 99669-7646
Phone (907) 262-1900

7536 Fredle Dr
Painesville, OH 44077-9406
Phone (440) 853-8208

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal427

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35064610SOHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Vein Institute, LLC Current Accepting new patients
Smith Vein Institute LLC CurrentSince May 14, 2010 Accepting new patients
Vein Specialists of Alaska LLC CurrentSince Feb 25, 2015 Accepting new patients

Locations

2550 Denali St
Ste 1307
Anchorage, AK 99503
Phone (907) 375-8787

34851 Kenai Spur Hwy
Ste 1
Soldotna, AK 99669
Phone (907) 262-1900

2521 E Mountain Village Dr
Ste B437
Wasilla, AK 99654

2851 E Palmer Wasilla Hwy
Ste 4
Wasilla, AK 99654
Phone (907) 631-3799

7536 Fredle Dr
Concord Township, OH 44077
Phone (440) 350-6500

7515 Fredle Dr
Concord Township, OH 44077
Phone (440) 352-0400

Interoperability endpoints

  • Direct secure messaging: dsmith219862@ehrdirect.uhhospitals.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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1316980246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10570 STAFFORD RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440235242",
            "telephone_number": "440-666-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 FREDLE DR",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440779406",
            "telephone_number": "440-853-8208",
            "fax_number": "216-370-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35064610S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2086282",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

Verify at the official NPI Registry.