Kevin S Smith, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

G70647 Issued in CA

Practice address

7525 Linda Vista Rd Ste C
San Diego, CA 92111-5344

Phone

(619) 398-2988

Fax

(619) 398-2987

NPI assigned

Jun 27, 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 2

Medicare fee-for-service enrollment

Enrolled in CA

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

AnesthesiologyAlso: Pain Management

Education

JC Edwards School of Medicine, Marshall University, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Pain Specialists of Southern California IncGroup PAC ID 3577669860, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JDDCAA/Endpoint/JDDCAA
• Direct secure messaging: ksmith81620@scrippshlth.medalliesdirect.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.

• Integrated Pain Specialists of Southern California, Inc.

  dba Kevin S. Smith, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • San Diego, CA
  • NPI 1639184344
  Medicare reassignment Care Compare group NPD Authorized official
• Interventional Pain Specialists of So Ca

  • Pain Medicine (Anesthesiology) Physician
  • San Diego, CA
  • NPI 1801831631
  NPD (past) Authorized official
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sharp Memorial Hospital

  dba Sharp Allison deRose Rehabilitation Center

  • Rehabilitation Hospital Unit
  • San Diego, CA
  • NPI 1114901352
  Care Compare affiliation
• Sharp Memorial Hospital

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1407839921
  Care Compare affiliation

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1457388225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 LINDA VISTA RD STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115344",
            "telephone_number": "619-398-2988",
            "fax_number": "619-398-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 LINDA VISTA RD STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115344",
            "telephone_number": "619-398-2988",
            "fax_number": "619-398-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEVIN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G70647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G70647",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "28441",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Smith
• Kathryn Smith
• Kayleigh Smith, SLP
• Kaylie Renee Smith, ACSW
• Kenyon Smith
• Kimberly Smith
• Kimberly Smith
• Kimberly Ann Smith, LMFT
• Krista Rae Smith, LPCC
• Kristen Diane Smith, M.D.

• Pain Medicine (Anesthesiology) Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.