Individual provider Active NPI

Sylvester Smarty, MD

  • Psychiatry Physician
  • Broadview Heights, OH
National Provider Identifier
1497841464
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35082611 Issued in OH
Practice address
3505 E Royalton Rd
Suite 174
Broadview Heights, OH 44147-2994
Phone
(440) 838-5536
Fax
(440) 838-5537
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME137775 FL
Psychiatry Physician 2084P0800X 35082611 OH Primary

Addresses

Primary practice location

3505 E Royalton Rd
Suite 174
Broadview Heights, OH 44147-2994

Mailing address

3505 E Royalton Rd
Suite 174
Broadview Heights, OH 44147-2994
Phone (440) 838-5536

Other practice location 1

525 E 15th St
Panama City, FL 32405-5400
Phone (850) 522-4485

Other identifiers 1

IdentifierTypeStateIssuer
000000326906OtherOHANTHEM

Other names 1

  • Sylvester I Onwuka-Smarty Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040209000683 OH Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 7810881281 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35082611OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC CurrentSince Dec 1, 2018 Accepting new patients
Signature Health, Inc. Current Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
North Coast Professional Company, LLC CurrentSince Dec 1, 2018 Accepting new patients
State of Ohio Office of Budget and Management State Accounting Past Accepting new patients
Portage Path Community Mental Health Center Past Accepting new patients
Portage Path Behavioral Health Past Accepting new patients
Compass Health, Inc Past Accepting new patients

Locations

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

38882 Mentor Ave
Willoughby, OH 44094

Interoperability endpoints

  • Direct secure messaging: sylvesteronwukasmarty@tdh.allscriptsdirect.net

Organizations & group practices 8

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1497841464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 E ROYALTON RD",
            "address_2": "SUITE 174",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472994",
            "telephone_number": "440-838-5536",
            "fax_number": "440-838-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 E ROYALTON RD",
            "address_2": "SUITE 174",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472994",
            "telephone_number": "440-838-5536",
            "fax_number": "440-838-5537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 E 15th St",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324055400",
            "country_code": "US",
            "telephone_number": "850-522-4485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMARTY",
        "first_name": "SYLVESTER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME137775",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35082611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000326906",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYLVESTER",
            "last_name": "ONWUKA-SMARTY",
            "middle_name": "I",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Broadview Heights, OH

Sources for this page

Verify at the official NPI Registry.