Active NPI
Ernest A. Smoot, M.D.
- Pediatrics Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35068599
- Practice address
- 12100 Superior Ave
Cleveland, OH 44106-1444 - Phone
- (216) 851-2600
- NPI assigned
- Oct 3, 2006
- Last updated
- Nov 19, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35068599 | OH | Primary |
Addresses
Primary practice location
12100 Superior Ave
Cleveland, OH 44106-1444
Mailing address
12100 Superior Ave
Cleveland, OH 44106-1444
Phone (216) 851-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0154952 | Medicaid | OH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35068599 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Ohio Neighborhood Health Services, Inc. | Current | Accepting new patients | |
| Northeast Ohio Neighborhood Health Services, Inc. | Current | Accepting new patients | |
| Northeast Ohio Neighborhood Health Services, Inc. | Current | Accepting new patients | |
| Northeast Ohio Neighborhood Health Services, Inc. | Current | Accepting new patients | |
| Northeast Ohio Neighborhood Health Services, Inc. | Past | Accepting new patients | |
| Northeast Ohio Neighborhood Health Services, Inc. | Past | Accepting new patients |
Locations
12100 Superior Ave
Cleveland, OH 44106
Phone (216) 231-7700
15322 Saint Clair Ave
Cleveland, OH 44110
Phone (216) 491-2318
4800 Payne Ave
Cleveland, OH 44103
Phone (216) 231-7700
8300 Hough Ave
Cleveland, OH 44103
Phone (216) 231-7700
Interoperability endpoints
- ernest.smootmd.p1@direct.neon.nextgenshare.com
- esmoot36765@ehrdirect.uhhospitals.org
Organizations & group practices 6
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.
-
dba NEON Health Svcs., Medical Mobile Unit
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1659194595
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1851302665
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1407874589
-
- Primary Care Clinic/Center
- Cleveland, OH
- NPI 1508877739
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1346272267
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1649201732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447891200000",
"number": "1558455352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12100 SUPERIOR AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061444",
"telephone_number": "216-851-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12100 SUPERIOR AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061444",
"telephone_number": "216-851-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOOT",
"first_name": "ERNEST",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2015-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35068599",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0154952",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.