Individual provider Active NPI

Vera Pavlovna Smith, P.A.

  • Physician Assistant
  • Pickerington, OH
National Provider Identifier
1558734269
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004498 Issued in OH
Practice address
161 Clint Dr
Suite 100
Pickerington, OH 43147-7794
Phone
(614) 866-8603
Fax
(614) 866-8699
NPI assigned
Nov 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.004498 OH Primary

Addresses

Primary practice location

161 Clint Dr
Suite 100
Pickerington, OH 43147-7794

Mailing address

161 Clint Dr
Suite 100
Pickerington, OH 43147-7794
Phone (614) 866-8603

Other names 1

  • Vera Pavlovna Filatova Former 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160120001507 OH Practitioner - Physician Assistant 9133422421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Surgical Dermatology IncGroup PAC ID 9739087602, 33 clinicians

Practice addresses (Care Compare)

161 Clint Dr
Suite 100
Pickerington, OH 43147-7794
Phone (614) 866-8603

428 County Line Rd W
Westerville, OH 43082-7027
Phone (614) 847-4100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.85 of 100Reported as group
Promoting interoperability
81
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.004498OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CSD ASC LLC Past Accepting new patients
Summit Acres Home Care Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vera.smith@qdp.emadirect.md

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1558734269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 CLINT DR",
            "address_2": "SUITE 100",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477794",
            "telephone_number": "614-866-8603",
            "fax_number": "614-866-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 CLINT DR",
            "address_2": "SUITE 100",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477794",
            "telephone_number": "614-866-8603",
            "fax_number": "614-866-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VERA",
        "middle_name": "PAVLOVNA",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERA",
            "last_name": "FILATOVA",
            "middle_name": "PAVLOVNA",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.