NPIMap

Individual provider Active NPI

Scott A Smiley, MD

  • Internal Medicine Physician
  • Emporia, KS
National Provider Identifier
1417984618
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-29524 Issued in KS
Practice address
1301 W 12TH Ave
Emporia, KS 66801-2587
Phone
(620) 343-2900
Fax
(620) 343-9484
NPI assigned
Jun 26, 2006
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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 04-29524 KS Primary

Addresses

Primary practice location

1301 W 12TH Ave
Emporia, KS 66801-2587

Mailing address

1301 W 12TH Ave
Emporia, KS 66801-2587
Phone (620) 343-2900

Other identifiers 2

IdentifierTypeStateIssuer
067280OtherKSMEDICARE PTAN
100458290AMedicaidKS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ssmiley6190@stormontvaildirect.org Direct COTTON O'NEIL CLINIC REVOCABLE TRUST
Direct Messaging Address ssmiley6190@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20100519000302 KS Practitioner - Internal Medicine 0345379004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1301 W 12TH Ave
Suite 401
Emporia, KS 66801-2591
Phone (620) 343-2900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jun 1, 2003 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust Internal Medicine CurrentSince Jun 1, 2003 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1301 W 12th Ave
Ste 401
Emporia, KS 66801
Phone (620) 343-2900

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

901 SW Garfield Ave
Topeka, KS 66606

Interoperability endpoints

  • Direct secure messaging: ssmiley6190@stormontvaildirect.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1417984618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012587",
            "telephone_number": "620-343-2900",
            "fax_number": "620-343-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012587",
            "telephone_number": "620-343-2900",
            "fax_number": "620-343-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-29524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "067280",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100458290A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssmiley6190@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure messaging",
            "affiliationName": "COTTON O'NEIL CLINIC REVOCABLE TRUST",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1301 W 12th Ave",
            "address_2": "Suite 401",
            "city": "Emporia",
            "state": "KS",
            "country_code": "US",
            "postal_code": "668012587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssmiley6190@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "STORMONT-VAIL HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1301 W 12th Ave",
            "address_2": "Suite 401",
            "city": "Emporia",
            "state": "KS",
            "country_code": "US",
            "postal_code": "668012587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

Verify at the official NPI Registry.