Individual provider Active NPI

Ricky Allen Smith, MD

  • Urology Physician
  • Cookeville, TN
National Provider Identifier
1578670477
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD15982 Issued in TN
Practice address
320 N Oak Ave
Cookeville, TN 38501-2440
Phone
(931) 783-4103
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD15982 TN Primary

Addresses

Primary practice location

320 N Oak Ave
Cookeville, TN 38501-2440

Mailing address

140 W 7TH St
Cookeville, TN 38501-1726
Phone (931) 783-5582

Other practice location 1

2996 Kate Bond Rd
Suite 307
Bartlett, TN 38133-4030
Phone (901) 373-8333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20070404000487 TN Practitioner - Urology 6800830753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Tennessee, HSC, College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cookeville Regional Medical Group IncGroup PAC ID 8325092638, 54 clinicians

Practice addresses (Care Compare)

320 N Oak Ave
Cookeville, TN 38501-2440
Phone (931) 783-4103

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.49 of 100Reported as individual
Quality
73.53
Promoting interoperability
99
Improvement activities
40
Cost
78.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection15
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD15982TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cookeville Regional Medical Group, Inc CurrentSince Oct 19, 2020 Accepting new patients

Locations

320 N Oak Ave
Cookeville, TN 38501
Phone (931) 528-5547

140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582

127 N Oak Ave
#D
Cookeville, TN 38501

100 W 4th St
Ste 350
Cookeville, TN 38501
Phone (931) 646-2901

Interoperability endpoints

  • Direct secure messaging: ricky.smith.1@10383.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1578670477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 7TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011726",
            "telephone_number": "931-783-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N OAK AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012440",
            "telephone_number": "931-783-4103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2996 Kate Bond Rd",
            "address_2": "Suite 307",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381334030",
            "country_code": "US",
            "telephone_number": "901-373-8333",
            "fax_number": "901-373-9420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RICKY",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "MD15982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.