Kenneth B Smith, M.D.

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

MD.012364 Issued in LA

Practice address

4200 Houma Blvd FL 3
Metairie, LA 70006-2970

Phone

(504) 503-5205

Fax

(504) 503-6019

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenneth.smith@direct.ejgh.org

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.

• East Jefferson Physicians Group LLC

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1922293372
  Medicare reassignment NPD
• Hospice Care of Louisiana, LLC

  • Community Based Hospice Care Agency
  • Lafayette, LA
  • NPI 1760603070
  Medicare reassignment NPD
• East Jefferson Physicians Group Urgent Care

  • Urgent Care Clinic/Center
  • Kenner, LA
  • NPI 1053859082
  NPD
• Hospice Care of Louisiana LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Mandeville, LA
  • NPI 1033669478
  NPD
• Hospice Care of Louisiana, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Baton Rouge, LA
  • NPI 1407318959
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1356310650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 HOUMA BLVD FL 3",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062970",
            "telephone_number": "504-503-5205",
            "fax_number": "504-503-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 HOUMA BLVD FL 3",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062970",
            "telephone_number": "504-503-5205",
            "fax_number": "504-503-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KENNETH",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "12364",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "LA",
            "license": "MD.012364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1192554",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabelle Smith
• Jared Earl Smith, FNP
• Karen G. Smith, MSW. LCSW
• Karion Smith
• Keli Smith
• Laquincia Smith
• Lauren H Smith, M.S., CCC-SLP
• Lori M Smith, APRN,FNP
• Lowell Smith Mills Smith III
• Michelle S Smith, PHARMD

• Hospice and Palliative Medicine (Internal Medicine) Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.