Individual provider Active NPI

Michelle Rae Carlson Smith, MD

  • Physical Medicine & Rehabilitation Physician
  • Hood River, OR
National Provider Identifier
1346397262
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD20293 Issued in OR
Practice address
1010 10TH St
Hood River, OR 97031-1565
Phone
(541) 386-9540
Fax
(541) 386-9540
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD20293 OR Primary

Addresses

Primary practice location

1010 10TH St
Hood River, OR 97031-1565

Mailing address

2149 Cascade Ave Ste 106a
Hood River, OR 97031-1087
Phone (541) 386-9500

Other identifiers 1

IdentifierTypeStateIssuer
085498MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20121107000153 OR Practitioner - General PracticePractitioner - Preventive Medicine 6608027370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Preventive Medicine
Education
University of Minnesota Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbia Pain Management, Inc.Group PAC ID 2062595796, 16 clinicians

Practice addresses (Care Compare)

1010 10TH St
Hood River, OR 97031-1565
Phone (541) 386-9500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.97 of 100Reported as group
Quality
100
Improvement activities
40
Cost
64.16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Pain Management, Inc. CurrentSince Feb 11, 2015 Accepting new patients
Columbia Pain Management, LLC PastSince Feb 11, 2015 Accepting new patients

Locations

2149 Cascade Ave
Ste 106A
Hood River, OR 97031
Phone (541) 645-3505

1010 10th St
Hood River, OR 97031
Phone (541) 386-9500

6542 SE Lake Rd
Ste 101
Portland, OR 97222
Phone (503) 387-5546

3601 Klindt Dr
Ste 200
The Dalles, OR 97058
Phone (541) 386-9500

Organizations & group practices 2

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1346397262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 CASCADE AVE STE 106A",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311087",
            "telephone_number": "541-386-9500",
            "fax_number": "541-386-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 10TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311565",
            "telephone_number": "541-386-9540",
            "fax_number": "541-386-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHELLE",
        "middle_name": "RAE CARLSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OR",
            "license": "MD20293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085498",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.