NPIMap

Individual provider Active NPI

Marcus John Smith, MD

  • Interventional Cardiology Physician
  • Oklahoma City, OK
National Provider Identifier
1578769055
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25706 Issued in OK
Practice address
3200 Quail Springs Pkwy
Suite 200
Oklahoma City, OK 73134-2604
Phone
(405) 701-9880
Fax
(405) 701-9881
NPI assigned
Jun 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25706 OK
Interventional Cardiology Physician 207RI0011X 25706 OK Primary
Cardiovascular Disease Physician 207RC0000X 25706 OK

Addresses

Primary practice location

3200 Quail Springs Pkwy
Suite 200
Oklahoma City, OK 73134-2604

Mailing address

3200 Quail Springs Pkwy
Suite 200
Oklahoma City, OK 73134-2604
Phone (405) 701-9880

Other identifiers 1

IdentifierTypeStateIssuer
200210130AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20101109001426 OK Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9931394590 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Oklahoma College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Cardiovascular Solutions, LLCGroup PAC ID 9335454420, 8 clinicians
Cardiovascular Health Clinic PLLCGroup PAC ID 5597070326, 23 clinicians

Practice addresses (Care Compare)

3200 Quail Springs Pkwy
Suite 100
Oklahoma City, OK 73134-2698
Phone 40570198990

3200 Quail Springs Pkwy
Suite 200
Oklahoma City, OK 73134-2699
Phone (405) 241-3539

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.24 of 100Reported as group
Quality
59.04
Promoting interoperability
97
Improvement activities
40
Cost
74.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25706OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cardiovascular Solutions, LLC CurrentSince Dec 1, 2016 Accepting new patients
Mark 5 Care Group, PLLC Internal Medicine CurrentSince Mar 23, 2014 Accepting new patients
Cardiovascular Health Clinic PLLC Cardiovascular Disease CurrentSince Oct 1, 2016 Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Oklahoma Heart Hospital, LLC Cardiovascular Disease Past Accepting new patients
Summit Medical Center Past Accepting new patients
Advanced Surgical & Research Solutions LLC Past Accepting new patients
Grady Memorial Hospital Past Accepting new patients

Locations

420 S 22nd St
Chickasha, OK 73018
Phone (405) 224-3366

1015 SW 4th St
Moore, OK 73160
Phone (405) 378-2001

1000 N Lee Ave
Rm 1921
Oklahoma City, OK 73102
Phone (405) 272-6053

1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978

3200 Quail Springs Pkwy
Ste 100
Oklahoma City, OK 73134
Phone (405) 418-5400

3200 Quail Springs Pkwy
Oklahoma City, OK 73134
Phone (405) 241-3795

3200 Quail Springs Pkwy
Ste 200
Oklahoma City, OK 73134
Phone (405) 241-3539

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23723/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marcus.smith.p1@direct.ahgcardiology.nextgenshare.com
  • Direct secure messaging: marcus.smith.1@23723.direct.athenahealth.com

Organizations & group practices 9

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 5

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1578769055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 QUAIL SPRINGS PKWY",
            "address_2": "SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342604",
            "telephone_number": "405-701-9880",
            "fax_number": "405-701-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 QUAIL SPRINGS PKWY",
            "address_2": "SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342604",
            "telephone_number": "405-701-9880",
            "fax_number": "405-701-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARCUS",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "25706",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "25706",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "25706",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200210130A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.