NPIMap

Individual provider Active NPI

Kristen Alaine Smith, M.D.

  • Neurology Physician
  • Willoughby Hills, OH
National Provider Identifier
1346431632
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
57.011931 Issued in OH
Practice address
35040 Chardon Rd Ste 110
Willoughby Hills, OH 44094-9004
Phone
(440) 946-1200
Fax
(440) 946-5186
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 57.011931 OH Primary

Addresses

Primary practice location

35040 Chardon Rd Ste 110
Willoughby Hills, OH 44094-9004

Mailing address

35040 Chardon Rd Ste 110
Willoughby Hills, OH 44094-9004
Phone (440) 946-1200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristen.smith@aini.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090617000764 OH Practitioner - Neurology 4587714209 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Cincinnati College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Neurology, IncGroup PAC ID 0941288401, 4 clinicians

Practice addresses (Care Compare)

35040 Chardon Rd
Suite 110
Willoughby Hills, OH 44094-9004
Phone (440) 946-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.011931OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospitalist, LLC CurrentSince Apr 11, 2011 Accepting new patients
Lake Hospital System, Inc CurrentSince Jun 25, 2022 Accepting new patients
Lake Hospital System Inc CurrentSince Jun 25, 2022 Accepting new patients
Associates in Neurology, Inc Neurology CurrentSince Sep 6, 2011 Accepting new patients
Lake Hospital System Inc Current Accepting new patients
University Primary Care Practices Inc Past Accepting new patients
University Primary Care Practices Inc Neurology Past Accepting new patients

Locations

7590 Auburn Rd
Concord Township, OH 44077
Phone (440) 354-1899

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

35040 Chardon Rd
Ste 110
Willoughby Hills, OH 44094
Phone (440) 946-1200

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Interoperability endpoints

  • Direct secure messaging: ksmith37793@ehrdirect.uhhospitals.org

Organizations & group practices 7

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 8

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1346431632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35040 CHARDON RD STE 110",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949004",
            "telephone_number": "440-946-1200",
            "fax_number": "440-946-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35040 CHARDON RD STE 110",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949004",
            "telephone_number": "440-946-1200",
            "fax_number": "440-946-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTEN",
        "middle_name": "ALAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "57.011931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristen.smith@aini.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "35040 Chardon Rd Ste 110",
            "city": "Willoughby Hills",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440949004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

Verify at the official NPI Registry.