Yvonne May Smikle, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

216727 Issued in MA

Practice address

425 Revere St
Revere, MA 02151-4543

Phone

(781) 286-1313

Fax

(781) 286-1098

NPI assigned

Apr 6, 2006

Sex

Female

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 MA

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

Specialty

Family Practice

Education

University of Massachusetts Medical School, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Middlesex Recovery PCGroup PAC ID 5698933216, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ysmikle28940@tuftsmedicine.direct-ci.com

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.

• Middlesex Recovery Professional Corporation

  • Addiction Medicine (Family Medicine) Physician
  • Woburn, MA
  • NPI 1487971461
  Medicare reassignment Care Compare group NPD
• Hallmark Health Medical Associates Inc

  • Family Medicine Physician
  • Medford, MA
  • NPI 1770563900
  Medicare reassignment NPD
• Middlesex Recovery, P.C.

  • Addiction Medicine (Preventive Medicine) Physician
  • Salem, NH
  • NPI 1033712179
  NPD
• Family Doctors, LLC

  • Family Medicine Physician
  • Swampscott, MA
  • NPI 1114052495
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1457314049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 REVERE ST",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514543",
            "telephone_number": "781-286-1313",
            "fax_number": "781-286-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 REVERE ST",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514543",
            "telephone_number": "781-286-1313",
            "fax_number": "781-286-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIKLE",
        "first_name": "YVONNE",
        "middle_name": "MAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "216727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022061",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hope Noelle Sigmon, M.S., BCBA
• Pamela Silvia, DPT
• Charles Lewis Silvius III, D.D.S.
• Robert J Sims III
• Smart Choice Healthcare Agency LLC
• Smile Dental Revere LLC
• Smile Dental, PC
• Emily Wylene Smith, P.T.
• Maggie Marie Smith
• Michael Jinguk Sohn

• Family Medicine Physician in Revere, MA
• Providers in Revere, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.