NPIMap

Individual provider Active NPI

Michael B Smith, MD

  • Vascular & Interventional Radiology Physician
  • Hickory, NC
National Provider Identifier
1467691766
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME102549 Issued in FL
Practice address
2134 14TH Avenue Cir NW Ste D
Hickory, NC 28601-7358
Phone
(828) 580-1236
Fax
(828) 580-1992
NPI assigned
Feb 10, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X ME102549 FL Primary

Addresses

Primary practice location

2134 14TH Avenue Cir NW Ste D
Hickory, NC 28601-7358

Mailing address

2134 14TH Avenue Cir NW Ste D
Hickory, NC 28601-7358
Phone (828) 580-1236

Other practice location 1

2293 Sugar Hill Rd Ste G
Marion, NC 28752-7787
Phone (828) 580-1307

Other identifiers 1

IdentifierTypeStateIssuer
007267500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130625000145 NC Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0244495570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Tennessee, HSC, College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

722 Malcolm Blvd
Connelly Springs, NC 28612-7920
Phone (828) 580-7563

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Jul 1, 2013 Accepting new patients
Triad Radiology Associates PLLC CurrentSince Apr 29, 2020 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Jul 1, 2013 Accepting new patients
Blue Ridge Healthcare Medical Group Inc Past Accepting new patients

Locations

2134 14th Avenue Cir NW
Ste D
Hickory, NC 28601
Phone (828) 580-1236

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

3010 Trenwest Dr
Winston Salem, NC 27103
Phone (336) 718-5844

3015 Maplewood Ave
Ste 200
Winston Salem, NC 27103
Phone (336) 794-4188

Interoperability endpoints

  • Direct secure messaging: msmith845770@direct.unc.nchie.net

Organizations & group practices 5

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 11

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": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467691766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 14TH AVENUE CIR NW STE D",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286017358",
            "telephone_number": "828-580-1236",
            "fax_number": "828-580-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 14TH AVENUE CIR NW STE D",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286017358",
            "telephone_number": "828-580-1236",
            "fax_number": "828-580-1992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2293 Sugar Hill Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287527787",
            "country_code": "US",
            "telephone_number": "828-580-1307",
            "fax_number": "828-580-2344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME102549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007267500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.