Individual provider Active NPI

Annette R Smith, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Fort Lauderdale, FL
National Provider Identifier
1336171297
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
2004026439 Issued in MO
Practice address
6451 N Federal Hwy
Suite 00
Fort Lauderdale, FL 33308-1402
Phone
(816) 341-2284
Fax
(816) 341-2284
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2004026439 MO
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2004026439 MO Primary
Pulmonary Disease Physician 207RP1001X 2004026439 MO

Addresses

Primary practice location

6451 N Federal Hwy
Suite 00
Fort Lauderdale, FL 33308-1402

Mailing address

6451 N Federal Hwy
Suite 00
Fort Lauderdale, FL 33308-1402

Other identifiers 5

IdentifierTypeStateIssuer
200277580AMedicaidKS
10001775800OtherMOCHP
34588011OtherMOBLUE CROSS BLUE SHIELD KC
7010386OtherMOAETNA
205865009MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20041117000774 MO Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 1951393040 Reassigns benefits to 1 organization
I20150116002124 KS Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1951393040 Reassigns benefits to 2 organizations
I20150218000682 OH Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 1951393040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Kansas School of Med (KC/Wich/Sal), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topeka Physician Group LLCGroup PAC ID 6406112473, 149 clinicians

Practice addresses (Care Compare)

1700 SW 7TH St
Topeka, KS 66606-2489
Phone (785) 295-8108

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004026439MOMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Topeka Physician Group, LLC Internal Medicine CurrentSince Oct 28, 2018 Accepting new patients
Select Specialty Hospital - Kansas City Inc CurrentSince Dec 29, 2014 Accepting new patients
Topeka Physician Group, LLC Internal Medicine CurrentSince Oct 28, 2018 Accepting new patients
Select Specialty Hospital - Kansas City, Inc. CurrentSince Dec 29, 2014 Accepting new patients
Kansas City Pulmonology Practice, LLC Pulmonary Disease CurrentSince Jan 21, 2013 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Jan 5, 2015 Accepting new patients
Somc Medical Care Foundation, Inc. Pulmonary Disease CurrentSince Jan 5, 2015 Accepting new patients
Midwestern Health Management, Inc. Past Accepting new patients
RMC HBP, LLC Critical Care Medicine Past Accepting new patients
Kansas City Pulmonary Clinic PA Internal Medicine Past Accepting new patients

Locations

1731 N 90th St
Kansas City, KS 66112
Phone (913) 732-5900

1101 SW 29th St
Topeka, KS 66611
Phone (785) 379-4600

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

2820 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-2446

2330 E Meyer Blvd
Ste 303
Kansas City, MO 64132
Phone (816) 333-2614

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Interoperability endpoints

  • Direct secure messaging: asmith103505@direct.saint-lukes.org
  • Direct secure messaging: asmith201303@ahs.direct-ci.com
  • Direct secure messaging: annette.smith@hca2.eclinicaldirectplus.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1336171297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 N FEDERAL HWY",
            "address_2": "SUITE 00",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 N FEDERAL HWY",
            "address_2": "SUITE 00",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081402",
            "telephone_number": "816-341-2284",
            "fax_number": "816-341-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANNETTE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2004026439",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MO",
            "license": "2004026439",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2004026439",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200277580A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHP",
            "identifier": "10001775800",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KC",
            "identifier": "34588011",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7010386",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205865009",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.