Active NPI
Jason T. Smotherman, M.D.
- Urology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 60976
- Practice address
- 6565 E Carondelet Dr Ste 155
Tucson, AZ 85710-3587 - Phone
- (520) 849-8900
- Fax
- (520) 849-7137
- NPI assigned
- Apr 15, 2006
- Last updated
- Nov 13, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 18095 | OK | |
| Urology Physician | 208800000X | 16183 | HI | |
| Urology Physician | 208800000X | 60976 | AZ | Primary |
Addresses
Primary practice location
6565 E Carondelet Dr Ste 155
Tucson, AZ 85710-3587
Mailing address
4892 N Stone Ave Ste 140
Tucson, AZ 85704-5729
Phone (520) 833-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Oklahoma College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4790 S Calle Santa Cruz
Tucson, AZ 85714-1111
Phone (520) 777-2277
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.74 of 100
- Quality
- 79.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.96
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16183 | HI | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tucson Physician Group Holdings, LLC | Current | Accepting new patients | |
| Urology Center of Southern Oklahoma,PC | Urology | Current | Accepting new patients |
| Carondelet Medical Group, Inc | Past | Accepting new patients |
Locations
395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912
4790 S Calle Santa Cruz
Tucson, AZ 85714
Phone (520) 777-2277
6565 E Carondelet Dr
Ste 155
Tucson, AZ 85710
Phone (520) 849-8900
1119 Walnut Dr
Ste 2
Ardmore, OK 73401
Phone (580) 226-1727
915 10th Ave NW
Ardmore, OK 73401
Phone (580) 220-6461
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/
- jason.smotherman.1@600.direct.athenahealth.com
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.
-
dba Carondelet Medical Group
- Interventional Cardiology Physician
- Tucson, AZ
- NPI 1356726939
-
- Urology Physician
- Ardmore, OK
- NPI 1881609568
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1659326585
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bisbee, AZ
- NPI 1518968767
-
dba St. Josephs Hospital
- General Acute Care Hospital
- Tucson, AZ
- NPI 1538535158
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1457315301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4892 N STONE AVE STE 140",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857045729",
"telephone_number": "520-833-5200",
"fax_number": "520-318-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 E CARONDELET DR STE 155",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857103587",
"telephone_number": "520-849-8900",
"fax_number": "520-849-7137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOTHERMAN",
"first_name": "JASON",
"middle_name": "T.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-15",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OK",
"license": "18095",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "HI",
"license": "16183",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AZ",
"license": "60976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
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- Smiths Food & Drug Centers Inc (Frys Food and Drug)
- Smiths Food & Drug Centers Inc (Frys Food and Drug)
- James H Smitt, MD
- Cassi Smothers
- SMR Tucson, LLC
- SMSJ Imaging Company LLC
- SMSJ Imaging Company LLC
- SMSJ Imaging Company LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.