Individual provider Active NPI

Raymond P Smith, MD

  • Hematology & Oncology Physician
  • Quincy, IL
National Provider Identifier
1477526259
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036094428 Issued in IL
Practice address
3301 Broadway
Quincy, IL 62301
Phone
(217) 277-3500
Fax
(217) 221-4013
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036094428 IL Primary

Addresses

Primary practice location

3301 Broadway
Quincy, IL 62301

Mailing address

1025 Maine St
Quincy, IL 62301-4038
Phone (217) 222-6550

Other practice location 1

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 222-6550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20041020000479 IL Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 3577524941 Reassigns benefits to 4 organizations
I20081222000042 MO Practitioner - Hematology/OncologyPractitioner - HematologyPractitioner - Medical Oncology 3577524941 Reassigns benefits to 1 organization
I20100301000044 IA Practitioner - Hematology/OncologyPractitioner - Medical Oncology 3577524941 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
University of Virginia School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quincy Physicians and Surgeons Clinic, PLLCGroup PAC ID 0749192375, 231 clinicians
Southeast Iowa Regional Medical Center IncGroup PAC ID 3870496417, 259 clinicians
Scotland County Memorial HospitalGroup PAC ID 8224940366, 32 clinicians

Practice addresses (Care Compare)

1025 Maine St
Quincy, IL 62301-4038

1221 S Gear Ave
West Burlignton, IA 52655-1679
Phone (319) 768-1000

3301 Broadway St
Quincy, IL 62301-3713
Phone (217) 277-3500

450 E Sigler Ave
Memphis, MO 63555-1726
Phone (660) 465-2828

5445 Ave O
Fort Madison, IA 52627-9611
Phone (319) 376-2134

Hospital & facility affiliations

  • Southeast Iowa Regional Medical Center Hospital, West Burlington, IA, CCN 160057
  • Pinckneyville Community Hospital Hospital, Pinckneyville, IL, CCN 141307
  • Scotland County Hospital Hospital, Memphis, MO, CCN 261310
  • Sarah D Culbertson Memorial Hospital Hospital, Rushville, IL, CCN 141333
  • Blessing Hospital Hospital, Quincy, IL, CCN 140015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036094428ILMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland County Memorial Hospital CurrentSince Aug 12, 2008 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Sep 24, 2004 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Scotland County Memorial Hospital CurrentSince Aug 12, 2008 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Sep 24, 2004 Accepting new patients
Scotland County Memorial Hospital Current Accepting new patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Jul 1, 2021 Accepting new patients
University Hematology Oncology Inc Past Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC Past Accepting new patients

Locations

5445 Avenue O
Fort Madison, IA 52627
Phone (319) 372-6530

1603 Morgan St
Ste 3
Keokuk, IA 52632
Phone (319) 524-3796

1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622

640 W Washington St
Pittsfield, IL 62363
Phone (217) 285-2113

320 N Madison St
Pittsfield, IL 62363
Phone (217) 285-9601

1005 Broadway St
Quincy, IL 62301

1025 Maine St
Quincy, IL 62301
Phone 21722265503163

3301 Broadway St
Quincy, IL 62301
Phone (217) 277-4070

100 Medical Dr
Hannibal, MO 63401

450 E Sigler Ave
Memphis, MO 63555
Phone (660) 465-2828

450 E Sigler Ave
Ste A
Memphis, MO 63555
Phone (660) 465-2828

Interoperability endpoints

  • Direct secure messaging: rsmith@direct.pvillehosp.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBGCAA
  • Direct secure messaging: rsmith198184@direct.unitypoint.org

Organizations & group practices 11

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.

Hospital & facility affiliations 6

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1477526259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014038",
            "telephone_number": "217-222-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 BROADWAY",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "62301",
            "telephone_number": "217-277-3500",
            "fax_number": "217-221-4013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623012834",
            "country_code": "US",
            "telephone_number": "217-222-6550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RAYMOND",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036094428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

Verify at the official NPI Registry.