NPIMap

Individual provider Active NPI

Smitha A Kanak, MD

  • Internal Medicine Physician
  • Mason City, IA
National Provider Identifier
1326279704
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38610 Issued in IA
Practice address
621 S Illinois Ave
Mason City, IA 50401-5489
Phone
(641) 494-3000
Fax
(641) 494-3059
NPI assigned
Aug 3, 2009
Last updated
Aug 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38610 IA Primary

Addresses

Primary practice location

621 S Illinois Ave
Mason City, IA 50401-5489

Mailing address

1000 4TH St SW
Suite Hos
Mason City, IA 50401-2800
Phone (641) 422-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mc.mmcmc.him@direct.2.mycarelife.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090901000438 IA Practitioner - HospitalistPractitioner - Internal Medicine 3274688940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Healthcare of Iowa PCGroup PAC ID 3779517941, 60 clinicians

Practice addresses (Care Compare)

1000 4TH St SW
Mason City, IA 50401-2800
Phone (641) 428-6615

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38610IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Iowa, PLLC Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients
Cogent Healthcare of Iowa, PC Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Mercy Health Services-Iowa Corp Past Accepting new patients
North Iowa Mercy Clinics Internal Medicine Past Accepting new patients

Locations

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704

1000 4th St SW
Ste Hos
Mason City, IA 50401
Phone (641) 422-7000

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-5600

Interoperability endpoints

  • Direct secure messaging: mc.mmcmc.him@direct.2.mycarelife.org
  • Direct secure messaging: skanak3948576@direct.trinity-health.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1326279704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 4TH ST SW",
            "address_2": "SUITE HOS",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012800",
            "telephone_number": "641-422-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S ILLINOIS AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504015489",
            "telephone_number": "641-494-3000",
            "fax_number": "641-494-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAK",
        "first_name": "SMITHA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "38610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mc.mmcmc.him@direct.2.mycarelife.org",
            "affiliation": "N",
            "endpointDescription": "mercyone northiowa email id",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "1000 4th St SW",
            "city": "Mason City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504012800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.