Individual provider Active NPI

Jason T. Smotherman, M.D.

  • Urology Physician
  • Tucson, AZ
National Provider Identifier
1457315301
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
60976 Issued in AZ
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200915002896 AZ Practitioner - Urology 6608863527 Reassigns benefits to 1 organization

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
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

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 100Reported as group
Quality
79.16
Promoting interoperability
100
Improvement activities
40
Cost
69.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16183HIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Physician Group Holdings, LLC CurrentSince Jun 26, 2020 Accepting new patients
Urology Center of Southern Oklahoma,PC Urology CurrentSince Apr 30, 2003 Accepting new patients
Carondelet Medical Group, Inc PastSince Jun 26, 2020 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Sources for this page

Verify at the official NPI Registry.