Individual provider Active NPI

Dirk M Smith, M.D.

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1346242617
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-29410 Issued in KS
Practice address
8200 W Central Ave
Suite One
Wichita, KS 67212-9503
Phone
(316) 721-4544
Fax
(316) 721-8307
NPI assigned
Jun 1, 2005
Last updated
Mar 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-29410 KS Primary

Addresses

Primary practice location

8200 W Central Ave
Suite One
Wichita, KS 67212-9503

Mailing address

8200 W Central Ave
Suite One
Wichita, KS 67212-9503
Phone (316) 721-4544

Other identifiers 1

IdentifierTypeStateIssuer
100040030BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041202000789 KS Practitioner - Family Practice 5890751721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8200 W Central Ave
Suite 1
Wichita, KS 67212-3661
Phone (316) 721-4544

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-29410KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Wichita Family Physicians, P.a. Family Medicine CurrentSince Aug 1, 2014 Accepting new patients
West Wichita Family Physicians, P.a. Current Accepting new patients
West Wichita Family Physicians, P.a. Family Medicine CurrentSince Aug 1, 2014 Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients
Emergency Physicians of Delaware County, P.C. Past Accepting new patients

Locations

8200 W Central Ave
Wichita, KS 67212
Phone (316) 491-6330

8200 W Central Ave
Ste 1
Wichita, KS 67212
Phone (316) 721-4544

8200 W Central Ave
Ste 4
Wichita, KS 67212
Phone (316) 721-4910

Interoperability endpoints

  • Direct secure messaging: dirk.smith@wwfp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EJDEBA

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 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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1346242617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 W CENTRAL AVE",
            "address_2": "SUITE ONE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672129503",
            "telephone_number": "316-721-4544",
            "fax_number": "316-721-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 W CENTRAL AVE",
            "address_2": "SUITE ONE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672129503",
            "telephone_number": "316-721-4544",
            "fax_number": "316-721-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DIRK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-29410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100040030B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.