NPIMap

Individual provider Active NPI

Robert M Smith, MD

  • Diagnostic Radiology Physician
  • St Johnsbury, VT
National Provider Identifier
1558460956
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
042-0010559 Issued in VT
Practice address
1315 Hospital Dr
St Johnsbury, VT 05819-9210
Phone
(802) 748-7567
NPI assigned
Sep 22, 2006
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 042-0010559 VT Primary
Diagnostic Ultrasound Physician 2085U0001X 042-0010559 VT

Addresses

Primary practice location

1315 Hospital Dr
St Johnsbury, VT 05819-9210

Mailing address

PO Box 1849
Lewiston, ME 04241-1849
Phone (877) 845-2926

Other practice location 1

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, TX, ME, CA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20111012000109 VT Practitioner - Diagnostic Radiology 3577735737 Reassigns benefits to 9 organizations
I20251006000495 TX Practitioner - Diagnostic Radiology 3577735737 Reassigns benefits to 1 organization
I20251216000114 ME Practitioner - Diagnostic Radiology 3577735737 Reassigns benefits to 2 organizations
I20251219001193 CA Practitioner - Diagnostic Radiology 3577735737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kansas School of Med (KC/Wich/Sal), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vermont RadiologistsGroup PAC ID 9830287697, 3 clinicians
Advanced Radiology P aGroup PAC ID 1254327950, 155 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

124 Dish LN
Stowe, VT 05672-5430
Phone (952) 595-1100

1315 Hospital Dr
St Johnsbury, VT 05819-9210
Phone (802) 748-3638

300 Palmer LN
Charlotte, VT 05445-4410
Phone (888) 972-9700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.07 of 100Reported as group
Quality
59.54
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042-0010559VTMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital CurrentSince Dec 7, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 11, 2025 Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Dec 7, 2025 Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Dec 7, 2025 Accepting new patients
Houlton Regional Hospital CurrentSince Dec 7, 2025 Accepting new patients
Regents of the Univ of Ca Diagnostic Radiology CurrentSince Jul 16, 2025 Accepting new patients
St Paul Place Specialists Inc Diagnostic Radiology CurrentSince Oct 16, 2025 Accepting new patients
Houlton Regional Hospital CurrentSince Dec 7, 2025 Accepting new patients
Salt River Pima-Maricopa Indian Community CurrentSince Aug 1, 2025 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Oct 17, 2025 Accepting new patients
Claremont Imaging Associates, a Medical Corporation Diagnostic Radiology CurrentSince Sep 8, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 11, 2025 Accepting new patients
Vermont Radiologists Diagnostic Radiology CurrentSince Mar 28, 2003 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Salt River Pima-Maricopa Indian Community Current Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology PastSince Jan 21, 2022 Accepting new patients
Vermont Radiologists Billing S Burlington Diagnostic Radiology Past Accepting new patients
Vermont Open Imaging Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
Alameda Health System Past Accepting new patients

Locations

10901 E McDowell Rd
Scottsdale, AZ 85256
Phone (480) 278-7742

File 53726
Los Angeles, CA 90074

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

4868 X St
Sacramento, CA 95817
Phone (916) 703-1503

26999 Network Pl
Chicago, IL 60673

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

528 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-4231

1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDEGCD

Organizations & group practices 23

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 23

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1558460956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1849",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042411849",
            "telephone_number": "877-845-2926",
            "fax_number": "207-777-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 HOSPITAL DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199210",
            "telephone_number": "802-748-7567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Minnesota Dr Ste 800",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554357915",
            "country_code": "US",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VT",
            "license": "042-0010559",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "VT",
            "license": "042-0010559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johnsbury, VT

Sources for this page

Verify at the official NPI Registry.