Kellie Bobbitt Smaldore, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H0040582 Issued in MD

Practice address

2227 Old Emmorton Rd Ste 218
Bel Air, MD 21015-6189

Phone

(443) 371-4940

Fax

(443) 371-4941

NPI assigned

Sep 8, 2005

Sex

Female

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 2

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

DRS Steve and Kellie Smaldore Family Practice IncGroup PAC ID 7719986314, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.17 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

73.9

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kellie.smaldore.1@16300.direct.athenahealth.com

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.

• DRS Steve & Kellie Smaldore Family Practice, Inc

  • Family Medicine Physician
  • Bel Air, MD
  • NPI 1891854188
  Medicare reassignment Care Compare group NPD Authorized official
• Agape Physical Therapy & Sports Rehabilitation LP

  • Physical Therapist
  • Forest Hill, MD
  • NPI 1578900668
  Care Compare group
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1356335095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 OLD EMMORTON RD STE 218",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156189",
            "telephone_number": "443-371-4940",
            "fax_number": "443-371-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 OLD EMMORTON RD STE 218",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156189",
            "telephone_number": "443-371-4940",
            "fax_number": "443-371-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALDORE",
        "first_name": "KELLIE",
        "middle_name": "BOBBITT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H40582",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0040582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "199L",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348681800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dean Alexander Slack
• Karen Slagle, PHARMD
• Kristie Slaski
• Jeannette Slesicki, CCC-SLP
• Laura M Sloat, MS, LGPC
• Stephen Gerard Smaldore, DO
• Linda Claire Smart-Sullivan, LCSW
• SMB Behavorial Health Service, LLC
• Amy Elizabeth Smith, RN
• Amya Lanai Smith, PA-C

• Family Medicine Physician in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.