Individual provider Active NPI

Stephen Gerard Smaldore, DO

  • Family Medicine Physician
  • Bel Air, MD
National Provider Identifier
1427042167
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H40583 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
Last updated
Apr 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H40583 MD Primary

Addresses

Primary practice location

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

Mailing address

2227 Old Emmorton Rd Ste 218
Bel Air, MD 21015-6189
Phone (443) 371-4940

Other identifiers 2

IdentifierTypeStateIssuer
348761000MedicaidMD
199LOtherMDMEDICARE GROUP

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100924001071 MD Practitioner - Family Practice 5890794499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

2227 Old Emmorton Rd
Suite 218
Bel Air, MD 21015-6189
Phone (443) 371-4940

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H40583MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Steve & Kellie Smaldore Family Practice, Inc Family Medicine CurrentSince Jan 1, 1994 Accepting new patients

Locations

2227 Old Emmorton Rd
Ste 218
Bel Air, MD 21015
Phone (410) 569-9040

2227 Old Emmorton Rd
Ste 220
Bel Air, MD 21015
Phone (410) 569-9040

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1427042167",
    "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": "STEPHEN",
        "middle_name": "GERARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H40583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348761000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "199L",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.