Individual provider Active NPI

Robert M Smith, M.D.

  • Specialist
  • Hartford, CT
National Provider Identifier
1487617635
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
035313 Issued in CT
Practice address
310 Collins St
Hartford, CT 06105-1549
Phone
(860) 278-7778
Fax
(860) 278-7743
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 035313 CT Primary

Addresses

Primary practice location

310 Collins St
Hartford, CT 06105-1549

Mailing address

PO Box 271457
West Hartford, CT 06127-1457
Phone (860) 278-7778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20040712000538 CT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 9234117664 Reassigns benefits to 3 organizations
Practice locations: Hartford, CT

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Nuclear Medicine
Education
University of Connecticut School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

310 Collins St
Hartford, CT 06105-1549
Phone (860) 278-7778

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035313CTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Charter Oak Health Center, Inc. CurrentSince Aug 13, 2022 Accepting new patients
Community Health Services, Inc. CurrentSince Sep 30, 2018 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Mar 18, 2012 Accepting new patients
Charter Oak Health Center, Inc. CurrentSince Aug 13, 2022 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Mar 18, 2012 Accepting new patients
Community Health Services, Inc. CurrentSince Sep 30, 2018 Accepting new patients
Saint Francis Hospital and Medical Center Current Accepting new patients

Locations

21 Grand St
Hartford, CT 06106

500 Albany Ave
Hartford, CT 06120
Phone (860) 249-9625

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

1000 Asylum Ave
Ste 4303
Hartford, CT 06105
Phone (860) 229-2807

Interoperability endpoints

  • Direct secure messaging: robert.smith.1@18782.direct.athenahealth.com
  • Direct secure messaging: rsmith3172939@direct.trinity-health.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487617635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271457",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061271457",
            "telephone_number": "860-278-7778",
            "fax_number": "860-278-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 COLLINS ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051549",
            "telephone_number": "860-278-7778",
            "fax_number": "860-278-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "035313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.