NPIMap

Individual provider Active NPI

Henry Kyle Smith, DO

  • Diagnostic Radiology Physician
  • Tulsa, OK
National Provider Identifier
1487627238
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
05002617L Issued in PA
Practice address
10413 S Yale Ave
Tulsa, OK 74137-6065
Phone
(717) 561-4940
Fax
(717) 561-4999
NPI assigned
Feb 10, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 05002617L PA Primary

Addresses

Primary practice location

10413 S Yale Ave
Tulsa, OK 74137-6065

Mailing address

945 E Park Dr
Ste 102
Harrisburg, PA 17111-2804
Phone (717) 561-4940

Other identifiers 1

IdentifierTypeStateIssuer
0628327MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041005000863 PA Practitioner - Diagnostic Radiology 3678532785 Reassigns benefits to 2 organizations
I20141111001817 OK Practitioner - Diagnostic Radiology 3678532785

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10413 S Yale Ave
Tulsa, OK 74137-6065

145 Northgate Dr
Camp Hill, PA 17011-1321
Phone (717) 774-7351

3103 Philmont Ave
Suite 100
Huntingdon Valley, PA 19006-4263
Phone (215) 967-1079

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05002617LPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Mobile X-Ray, Inc CurrentSince Jan 5, 2018 Accepting new patients
E H Managment Company , Inc Diagnostic Radiology CurrentSince Apr 14, 2019 Accepting new patients
E.H. Management Company, Inc Current Accepting new patients
Diagnostic X-Ray Service, Inc. Past Accepting new patients
Alpha Diagnostics LLC Past Accepting new patients
Physician's Mobile X-Ray, Inc. Past Accepting new patients
PA Open MRI-Harrisburg, PC Diagnostic Radiology Past Accepting new patients
Leader Heights Spine Joint & Nerve Associates LLC Past Accepting new patients
Pennsylvania Open MRI of Harrisburg, Inc. Diagnostic Radiology Past Accepting new patients
Physician's Mobile X-Ray, Inc Past Accepting new patients
Alpha Diagnostics LLC Diagnostic Radiology Past Accepting new patients
Diagnostic X-Ray Service, Inc. Past Accepting new patients
Premier Medical & Rehabilitation Center, P.C. Past Accepting new patients

Locations

945 E Park Dr
Ste 102
Harrisburg, PA 17111
Phone (717) 564-4940

Organizations & group practices 14

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.

View all 14

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": "1783900800000",
    "number": "1487627238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 E PARK DR",
            "address_2": "STE 102",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112804",
            "telephone_number": "717-561-4940",
            "fax_number": "717-561-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10413 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741376065",
            "telephone_number": "717-561-4940",
            "fax_number": "717-561-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HENRY",
        "middle_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2026-07-13",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "05002617L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0628327",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.