Individual provider Active NPI

Ernest A. Smoot, M.D.

  • Pediatrics Physician
  • Cleveland, OH
National Provider Identifier
1558455352
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35068599 Issued in OH
Practice address
12100 Superior Ave
Cleveland, OH 44106-1444
Phone
(216) 851-2600
NPI assigned
Oct 3, 2006
Last updated
Nov 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0154952MedicaidOH

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
I20100914000815 OH Practitioner - Pediatric Medicine 6406971472 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35068599OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Ohio Neighborhood Health Services, Inc. CurrentSince Sep 4, 2014 Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. CurrentSince Sep 4, 2014 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

  • Direct secure messaging: ernest.smootmd.p1@direct.neon.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.