Maasi Jacob Smith, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC004747-L Issued in PA

Practice address

25 Bala Ave Ste 105
Bala Cynwyd, PA 19004-3214

Phone

(215) 665-9225

Fax

(215) 665-9242

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covenant House IncGroup PAC ID 3476591686, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maasi.smith.p1@direct.covenanthousehealth.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: msmith583676@direct.ochin.org
• Direct secure messaging: maasismith@nncc.allscriptsdirect.net

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.

• Covenant House Inc

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1659462679
  Medicare reassignment Care Compare group NPD
• Public Health Management Corporation

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1881779866
  Medicare reassignment NPD
• Covenant House Inc

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1669177911
  NPD
• Public Health Management Corporation

  • Federally Qualified Health Center (FQHC)
  • Phila, PA
  • NPI 1417382888
  NPD
• Public Health Management Corporation

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1467776989
  NPD

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1427094259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WILSHIRE BLVD",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080852579",
            "telephone_number": "215-665-9225",
            "fax_number": "215-665-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BALA AVE STE 105",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043214",
            "telephone_number": "215-665-9225",
            "fax_number": "215-665-9242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 Wynnefield Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191312456",
            "country_code": "US",
            "telephone_number": "215-665-9225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MAASI",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004747-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01892600",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SKR Wellness LLC
• Kelly J Slothower, DPT
• Sarah Small
• Simon B Small, DPM
• Georgetta Smith, MS
• Ann Smolen, LCSW, PHD
• Ashley Annette Snoke, RDN
• Qianna Snooks, PSYD
• Sarah Sobel, PSYD
• Byrne Lincoln Solberg, M.D.

• Foot & Ankle Surgery Podiatrist in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.