Individual provider Active NPI

Montubua Vasser-Smith, MD

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1417913682
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00026254 Issued in AL
Practice address
1303 Dr Martin Luther King Jr Ave
Mobile, AL 36603
Phone
(251) 432-4117
Fax
(251) 436-7765
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00026254 AL Primary

Addresses

Primary practice location

1303 Dr Martin Luther King Jr Ave
Mobile, AL 36603

Mailing address

PO Box 2048
Mobile, AL 36652-2048
Phone (251) 432-4117

Other identifiers 3

IdentifierTypeStateIssuer
04-01120OtherALUNITED HEALTH
I22414OtherALHEALTHSPRING
0401120OtherALUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090518000080 KY Practitioner - Internal Medicine 7214994102 Reassigns benefits to 5 organizations
I20220318000089 NC Practitioner - Internal Medicine 7214994102 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians
American Healthcare Systems LLCGroup PAC ID 7719383538, 64 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1305 N Elm St
Henderson, KY 42420-2783
Phone (270) 827-7474

237 N Fayetteville St
Suite a
Asheboro, NC 27203-5573
Phone (336) 625-3248

913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-5275

Hospital & facility affiliations

  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012
  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056

Merit-based Incentive Payment System (MIPS)

Final score
95.82 of 100Reported as group
Quality
91.59
Promoting interoperability
100
Improvement activities
40
Cost
76.82

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00026254ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
American Healthcare Systems, LLC CurrentSince Dec 9, 2021 Accepting new patients
American Healthcare Systems, LLC Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Community Medical Associates, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Vital Health Partners LLC CurrentSince Sep 6, 2025 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
American Healthcare Systems, LLC CurrentSince Dec 9, 2021 Accepting new patients
Methodist Health, Inc. CurrentSince Sep 18, 2015 Accepting new patients
Hands of Hope Health Care Past Accepting new patients
Southeastern Physician Services PC Internal Medicine Past Accepting new patients
Franklin Primary Health Center, Inc Internal Medicine Past Accepting new patients
Mobile Emergency Group PC Past Accepting new patients
Baptist Healthcare System Inc Past Accepting new patients

Locations

6600 Cow Pen Rd
Ste 205
Miami Lakes, FL 33014
Phone (786) 292-0301

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

2000 N Elm St
Henderson, KY 42420
Phone (270) 827-3573

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

1305 N Elm St
Ste B
Henderson, KY 42420
Phone (270) 827-7193

200 E Chestnut St
Ste 303
Louisville, KY 40202
Phone (502) 629-5552

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

237 N Fayetteville St
Ste A
Asheboro, NC 27203
Phone (336) 625-3248

364 White Oak St
Asheboro, NC 27203
Phone (336) 625-5151

218 Foust St
Ste C
Asheboro, NC 27203
Phone (336) 625-2333

Organizations & group practices 18

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.

View all 18

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1417913682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2048",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366522048",
            "telephone_number": "251-432-4117",
            "fax_number": "251-436-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 DR MARTIN LUTHER KING JR AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36603",
            "telephone_number": "251-432-4117",
            "fax_number": "251-436-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSER-SMITH",
        "first_name": "MONTUBUA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00026254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "04-01120",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING",
            "identifier": "I22414",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0401120",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.