Individual provider Active NPI

Sidney J Smith, M.D.

  • Obstetrics & Gynecology Physician
  • Cedar Rapids, IA
National Provider Identifier
1447244272
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD-42997 Issued in IA
Practice address
1201 3Rd Ave SE
Cedar Rapids, IA 52403-4009
Phone
(319) 730-7300
Fax
(319) 730-7368
NPI assigned
Sep 8, 2005
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01057125 MI
Obstetrics & Gynecology Physician 207V00000X MD-42997 IA Primary

Addresses

Primary practice location

1201 3Rd Ave SE
Cedar Rapids, IA 52403-4009

Mailing address

1201 3Rd Ave SE
Cedar Rapids, IA 52403-4009
Phone (319) 730-7300

Other practice location 1

1111 6th Ave
Des Moines, IA 50314-2613
Phone (515) 247-4240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20151112000571 IA Practitioner - Obstetrics/Gynecology 7618988619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Toledo College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Iowa Health CenterGroup PAC ID 0648364828, 23 clinicians

Practice addresses (Care Compare)

1201 3Rd Ave SE
Cedar Rapids, IA 52403-4009
Phone (319) 730-7300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-42997IAMDObstetrics & Gynecology Physician
01057125MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Eastern Iowa Health Center CurrentSince Nov 10, 2015 Accepting new patients
Eastern Iowa Health Center CurrentSince Nov 10, 2015 Accepting new patients

Locations

1030 5th Ave SE
Ste 2400
Cedar Rapids, IA 52403

1201 3rd Ave SE
Cedar Rapids, IA 52403
Phone (319) 730-7343

Interoperability endpoints

  • Direct secure messaging: sidney.smith.1@13071.direct.athenahealth.com
  • Direct secure messaging: ssmith309463@direct.unitypoint.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.

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": "1784246400000",
    "number": "1447244272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 3RD AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524034009",
            "telephone_number": "319-730-7300",
            "fax_number": "319-730-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 3RD AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524034009",
            "telephone_number": "319-730-7300",
            "fax_number": "319-730-7368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503142613",
            "country_code": "US",
            "telephone_number": "515-247-4240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SIDNEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "01057125",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "MD-42997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.