Individual provider Active NPI

Jodi L Smith, MD, PHD

  • Neurological Surgery Physician
  • Indianapolis, IN
National Provider Identifier
1518960004
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
01052779A Issued in IN
Practice address
8402 Harcourt Rd Ste 830
Indianapolis, IN 46260-2096
Phone
(317) 396-1300
Fax
(317) 396-1480
NPI assigned
May 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 01052779A IN Primary

Addresses

Primary practice location

8402 Harcourt Rd Ste 830
Indianapolis, IN 46260-2096

Mailing address

13345 Illinois St
Carmel, IN 46032-3318
Phone (317) 396-1300

Other identifiers 1

IdentifierTypeStateIssuer
0000640757OtherINANTHEM BLUE CROSS AND BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jodi.smith.1@7598.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100407000489 IN Practitioner - Neurosurgery 8729114558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Utah School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13345 Illinois St
Carmel, IN 46032-3318
Phone (317) 396-1451

8402 Harcourt Rd
Suite 830
Indianapolis, IN 46260-2096
Phone (317) 396-1300

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01052779AINMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indianapolis Neurosurgical Group PC Neurological Surgery CurrentSince Feb 14, 2010 Accepting new patients
Major Hospital Past Accepting new patients
University Neurosurgical Associates, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

13345 Illinois St
Carmel, IN 46032
Phone (317) 396-1328

8402 Harcourt Rd
Ste 830
Indianapolis, IN 46260
Phone (317) 338-8857

8333 Naab Rd
Ste 250
Indianapolis, IN 46260
Phone (317) 338-5100

Interoperability endpoints

  • Direct secure messaging: jodi.smith.p1@direct.goodmancampbell.nextgenshare.com
  • Direct secure messaging: jodi.smith.1@7598.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1518960004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13345 ILLINOIS ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323318",
            "telephone_number": "317-396-1300",
            "fax_number": "317-352-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8402 HARCOURT RD STE 830",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602096",
            "telephone_number": "317-396-1300",
            "fax_number": "317-396-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JODI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IN",
            "license": "01052779A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS AND BLUE SHIELD",
            "identifier": "0000640757",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jodi.smith.1@7598.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8402 Harcourt Rd Ste 830",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462602096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.