Individual provider Active NPI

Katherine Smentkowski

  • Urology Physician
  • Columbia, MD
National Provider Identifier
1336567353
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D0088819 Issued in MD
Practice address
10710 Charter Dr Ste 130
Columbia, MD 21044-3258
Phone
(800) 953-3111
NPI assigned
Apr 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD467006 PA
Urology Physician 208800000X D0088819 MD Primary

Addresses

Primary practice location

10710 Charter Dr Ste 130
Columbia, MD 21044-3258

Mailing address

25 Crossroads Dr Ste 306
Owings Mills, MD 21117-5437
Phone (800) 953-3111

Other identifiers 1

IdentifierTypeStateIssuer
D0088819OtherMDSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20200319000814 MD Practitioner - Urology 6608178793 Reassigns benefits to 1 organization
I20211027000880 DC Practitioner - Urology 6608178793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Eastern Virginia Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Urology Associates LLCGroup PAC ID 4789673393, 161 clinicians

Practice addresses (Care Compare)

10710 Charter Dr
Suite 130
Columbia, MD 21044-3258
Phone (410) 772-7000

3801 International Dr
Silver Spring, MD 20906-1550
Phone (301) 598-9171

9420 Key W Ave
Suite 420
Rockville, MD 20850-6509
Phone (301) 258-1919

950 Harry S Truman Dr N
FL 5
Largo, MD 20774-5477
Phone (301) 321-1122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0088819MDMDUrology Physician
MD467006PAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Urology Associates LLC Urology CurrentSince May 1, 2020 Accepting new patients
Affiliated Dermatologists and Dermatologic Surgeons, P.a. Current Accepting new patients
Chesapeake Urology Associates, LLC Urology CurrentSince Oct 1, 2021 Accepting new patients
Chesapeake Urology Associates, LLC Current Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients

Locations

810 Bestgate Rd
Ste 235
Annapolis, MD 21401
Phone (443) 231-1500

10710 Charter Dr
Ste 130
Columbia, MD 21044
Phone (301) 725-8880

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140

3801 International Dr
Ste 310
Silver Spring, MD 20906
Phone (301) 598-9171

182 South St
Ste 1
Morristown, NJ 07960
Phone (973) 267-0300

Interoperability endpoints

  • Direct secure messaging: katherinesmentkowski@tsicua.allscriptsdirect.net
  • Direct secure messaging: ksmentkowski649261@direct.hopkinsmedicine.org
  • Direct secure messaging: ksmentkowski89751@direct.umm.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1336567353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CROSSROADS DR STE 306",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175437",
            "telephone_number": "800-953-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR STE 130",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443258",
            "telephone_number": "800-953-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMENTKOWSKI",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD467006",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D0088819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "D0088819",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.