Individual provider Active NPI

Karen Marie Smith, MD

  • Interventional Cardiology Physician
  • High Point, NC
National Provider Identifier
1578655643
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
36271 Issued in NC
Practice address
306 Westwood Ave Ste 401
High Point, NC 27262-4342
Phone
(336) 716-2255
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME76596 FL
Cardiovascular Disease Physician 207RC0000X 36271 NC
Interventional Cardiology Physician 207RI0011X 36271 NC Primary

Addresses

Primary practice location

306 Westwood Ave Ste 401
High Point, NC 27262-4342

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 713-6674

Other practice location 1

186 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone (336) 277-2000

Other identifiers 1

IdentifierTypeStateIssuer
254750300MedicaidFL

Other names 1

  • Karen Marie Smith Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ksmith412518@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20170105001510 NC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0244364230 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

306 Westwood Ave
Suite 401
High Point, NC 27262-4342
Phone (336) 885-6168

Hospital & facility affiliations

  • High Point Regional Health System Hospital, High Point, NC, CCN 340004
  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36271NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. CurrentSince Feb 11, 2019 Accepting new patients
Wake Forest University Health Sciences CurrentSince Feb 8, 2021 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Novant Health Mint Hill Medical Center, LLC CurrentSince Oct 1, 2018 Accepting new patients

Locations

311 E Presnell St
Asheboro, NC 27203
Phone (336) 625-1774

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

306 Westwood Ave
Ste 401
High Point, NC 27262
Phone (336) 885-6168

601 N Elm St
High Point, NC 27262
Phone (336) 878-6419

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

186 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 277-2000

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: ksmith2754400@carolinashealthcaresystem.direct-ci.com

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1578655643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-713-6674",
            "fax_number": "336-716-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WESTWOOD AVE STE 401",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624342",
            "telephone_number": "336-716-2255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 Kimel Park Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271036946",
            "country_code": "US",
            "telephone_number": "336-277-2000",
            "fax_number": "336-277-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME76596",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "36271",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "36271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254750300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksmith412518@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "186 Kimel Park Dr",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271036946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "SMITH",
            "middle_name": "MARIE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.