Individual provider Active NPI

Carlos Ignacio Smith, MD

  • Internal Medicine Physician
  • Key Largo, FL
National Provider Identifier
1427008226
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME85116 Issued in FL
Practice address
50 Barracuda LN
Key Largo, FL 33037-3733
Phone
(305) 367-2600
Fax
(305) 367-4573
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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 ME85116 FL Primary

Addresses

Primary practice location

50 Barracuda LN
Key Largo, FL 33037-3733

Mailing address

50 Barracuda LN
Key Largo, FL 33037-3733
Phone (305) 367-2600

Other identifiers 2

IdentifierTypeStateIssuer
BS7810559OtherFLBLUECROSS BLUESHEILD
2125480 00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20031222000440 FL Practitioner - Internal Medicine 9830096643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Medical Center at Ocean ReefGroup PAC ID 3375438039, 7 clinicians

Practice addresses (Care Compare)

50 Barracuda LN
Key Largo, FL 33037-3733
Phone (305) 367-2600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.13 of 100Reported as individual
Quality
87.5
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Center at Ocean Reef CurrentSince Feb 1, 2007 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

50 Barracuda Ln
Key Largo, FL 33037
Phone (305) 367-2600

Organizations & group practices 2

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 3

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1427008226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BARRACUDA LN",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330373733",
            "telephone_number": "305-367-2600",
            "fax_number": "305-367-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BARRACUDA LN",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330373733",
            "telephone_number": "305-367-2600",
            "fax_number": "305-367-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARLOS",
        "middle_name": "IGNACIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME85116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHEILD",
            "identifier": "BS7810559",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2125480 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Key Largo, FL

Sources for this page

Verify at the official NPI Registry.