Active NPI
Aleksander Raphael Smith, M.D.
- Otolaryngology Physician
- Elizabethtown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 49294
- Practice address
- 2411 Ring Rd Ste 105
Elizabethtown, KY 42701-5930 - Phone
- (270) 706-5265
- Fax
- (270) 706-5523
- NPI assigned
- Jun 14, 2011
- Last updated
- Oct 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 49294 | KY | Primary |
Addresses
Primary practice location
2411 Ring Rd Ste 105
Elizabethtown, KY 42701-5930
Mailing address
PO Box 2119
Elizabethtown, KY 42702-2119
Phone (270) 706-5265
Other practice location 1
2401 S 31st St
Temple, TX 76508-0001
Phone (859) 351-2815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Kentucky College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1631 Hospital Dr
Suite 112
Santa Fe, NM 87505-4728
Phone (505) 913-4780
2411 Ring Rd
Suite 114
Elizabethtown, KY 42701-5930
Phone (270) 706-1925
433 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 988-1232
445 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 913-8900
455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49294 | KY | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Otolaryngology | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients |
Locations
2411 Ring Rd
Ste 105
Elizabethtown, KY 42701
Phone (270) 706-5265
2411 Ring Rd
Ste 114
Elizabethtown, KY 42701
Phone (270) 706-1925
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
Interoperability endpoints
- alsmith@hardinmemorial.gwaydirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
Otolaryngology
-
dba CHRISTUS St. Vincent Pediatrics
- Pediatrics Physician
- Santa Fe, NM
- NPI 1063367803
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Hardin
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
-
dba CHRISTUS St. Vincent Regional Medical Center
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508976000000",
"number": "1336434638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2119",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427022119",
"telephone_number": "270-706-5265",
"fax_number": "270-706-5523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 RING RD STE 105",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427015930",
"telephone_number": "270-706-5265",
"fax_number": "270-706-5523"
}
],
"practiceLocations": [
{
"address_1": "2401 S 31st St",
"address_purpose": "LOCATION",
"city": "Temple",
"state": "TX",
"postal_code": "765080001",
"country_code": "US",
"telephone_number": "859-351-2815",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "ALEKSANDER",
"middle_name": "RAPHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-14",
"last_updated": "2017-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "KY",
"license": "49294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.