Jemille Smith, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

268111 Issued in NY

Practice address

2015 Grand Concourse
Bronx, NY 10453-4303

Phone

(718) 299-7295

Fax

(718) 299-6797

NPI assigned

Jul 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

General Practice

Education

Eastern Virginia Medical School, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Modern Physician Services PCGroup PAC ID 6204140544, 55 clinicians

Kirkwood Medical PracticeGroup PAC ID 4284083841, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• United Health Services Hospitals, Inc Hospital, Binghamton, NY, CCN 330394
• Absolut Ctr for Nursing & Rehab Endicott L L C Nursing home, Endicott, NY, CCN 335371
• Delhi Rehabilitation and Nursing Center Nursing home, Delhi, NY, CCN 335876
• Roscoe Regional Rehab & Residential H C F Nursing home, Roscoe, NY, CCN 335316

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jemille.smith.1@31128.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/CHFABD

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.

• Kirkwood Medical Practice

  • Clinic/Center
  • Kirkwood, NY
  • NPI 1497530463
  Medicare reassignment Care Compare group Authorized official
• Modern Physician Services PC

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1932590601
  Medicare reassignment Care Compare group NPD
• Ahava Medical and Rehabilitation Center, LLC

  • Rehabilitation Practitioner
  • Brooklyn, NY
  • NPI 1184878274
  Medicare reassignment NPD
• New York General Medical Services PC

  • Hospitalist Physician
  • New York, NY
  • NPI 1700315538
  Medicare reassignment NPD
• CS Pacs 3 Northeast, LLC

  • Hospitalist Physician
  • Frederick, MD
  • NPI 1093598898

  NY

  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  NY

  Medicare reassignment NPD
• Kneetix Mobile Pain Therapy

  • Primary Care Clinic/Center
  • Hancock, NY
  • NPI 1891284618
  NPD Authorized official
• Absolut Center for Nursing and Rehabilitation at Endicott, LLC

  • Skilled Nursing Facility
  • Endicott, NY
  • NPI 1427185248
  NPD (past)
• DRNC Operating LLC

  • Skilled Nursing Facility
  • Delhi, NY
  • NPI 1467974691
  NPD (past)

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

• Absolut Center for Nursing and Rehabilitation at Endicott, LLC

  • Skilled Nursing Facility
  • Endicott, NY
  • NPI 1427185248

  Nursing home

  Care Compare affiliation
• DRNC Operating LLC

  • Skilled Nursing Facility
  • Delhi, NY
  • NPI 1467974691

  Nursing home

  Care Compare affiliation
• Roscoe Regional Healthcare LLC

  • Skilled Nursing Facility
  • Roscoe, NY
  • NPI 1952883423

  Nursing home

  Care Compare affiliation
• United Health Services Hospitals, Inc.

  • General Acute Care Hospital
  • Binghamton, NY
  • NPI 1518998699
  Care Compare affiliation

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1457550071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3198 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581000",
            "telephone_number": "718-618-0401",
            "fax_number": "718-795-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534303",
            "telephone_number": "718-299-7295",
            "fax_number": "718-299-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEMILLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "268111-1",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "268111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Elizabeth Smith
• Janet Theresa Smith
• Janice Toqulia Smith, FNP
• Jared Christopher Smith, MD
• Jay Smith, PA-C
• Jonathan C Smith, M.D.
• Kadian Antoinette Smith
• Katie E Smith, CASAC
• Kayla Smith
• Kelly Kristine Smith, FNP

• General Practice Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.