Individual provider Active NPI

Kirsten M Smith, MD

  • Obstetrics & Gynecology Physician
  • Wilmington, DE
National Provider Identifier
1477635332
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C1-0006600 Issued in DE
Practice address
3706 Kennett Pike
Wilmington, DE 19807-2157
Phone
(302) 623-6320
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD069200L PA
Obstetrics & Gynecology Physician 207V00000X C1-0006600 DE Primary

Addresses

Primary practice location

3706 Kennett Pike
Wilmington, DE 19807-2157

Mailing address

200 Hygeia Dr
Suite 2300
Newark, DE 19713-2049
Phone (302) 623-6320

Other identifiers 1

IdentifierTypeStateIssuer
001913871MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20050623000923 DE Practitioner - Obstetrics/Gynecology 1254376858 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Miami, LM Miller School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

4745 Ogletown Stanton Rd
Suite 106
Newark, DE 19713-2070
Phone (302) 454-9800

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Current Accepting new patients
Lifeline Medical Associates, LLC Obstetrics & Gynecology CurrentSince May 30, 2020 Accepting new patients
Christiana Care Health Services Inc Obstetrics & Gynecology CurrentSince Jun 28, 2010 Accepting new patients
Women First, LLC Obstetrics & Gynecology PastSince Mar 1, 2018 Accepting new patients

Locations

4755 Oglewtown Stant S 190
Newark, DE 19718
Phone (302) 733-6510

4745 Ogletown Stanton Rd
Ste 106
Newark, DE 19713
Phone (302) 454-9800

200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4745 Ogletown Stanton Rd
#Sfirst
Newark, DE 19713
Phone (302) 454-9800

5661 Ocheltree Ln
Wilmington, DE 19808
Phone (302) 239-2961

3706 Kennett Pike
Wilmington, DE 19807
Phone (302) 477-1991

161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042

Interoperability endpoints

  • Direct secure messaging: kirsten.smith.1@27010.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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 2

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1477635332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "address_2": "SUITE 2300",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "302-623-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 KENNETT PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198072157",
            "telephone_number": "302-623-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIRSTEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD069200L",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DE",
            "license": "C1-0006600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001913871",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.