NPIMap

Individual provider Active NPI

Scott B Smith, MD

  • Internal Medicine Physician
  • Streetsboro, OH
National Provider Identifier
1568559441
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-051034 Issued in OH
Practice address
9318 State Route 14 FL 3
Streetsboro, OH 44241-5224
Phone
(330) 626-3111
Fax
(330) 422-0919
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-051034 OH Primary

Addresses

Primary practice location

9318 State Route 14 FL 3
Streetsboro, OH 44241-5224

Mailing address

9318 State Route 14 FL 3
Streetsboro, OH 44241-5224
Phone (330) 626-3111

Other identifiers 1

IdentifierTypeStateIssuer
0730776MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scottsmith@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060406000015 OH Practitioner - Internal Medicine 8729097530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

9318 State Route 14
Streetsboro, OH 44241-5224

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-051034OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince Oct 1, 2017 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Internal Medicine CurrentSince Oct 1, 2017 Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

9318 State Route 14
Fl 3
Streetsboro, OH 44241
Phone (330) 422-0916

Interoperability endpoints

  • Direct secure messaging: ssmith36913@ehrdirect.uhhospitals.org

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.

Hospital & facility affiliations 6

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1568559441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 STATE ROUTE 14 FL 3",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415224",
            "telephone_number": "330-626-3111",
            "fax_number": "330-422-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9318 STATE ROUTE 14 FL 3",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415224",
            "telephone_number": "330-626-3111",
            "fax_number": "330-422-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SCOTT",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-051034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0730776",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scottsmith@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "9318 State Route 14 Fl 3",
            "city": "Streetsboro",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442415224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Streetsboro, OH

Sources for this page

Verify at the official NPI Registry.