NPIMap

Individual provider Active NPI

Danielle C Smith, D.O.

  • Vascular Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1578799078
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
DR.0073674 Issued in CO
Practice address
1625 Medical Center PT Ste 200
Colorado Springs, CO 80907-5748
Phone
(719) 776-7600
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 278301 NY
Vascular Surgery Physician 2086S0129X 201800176 NC
Vascular Surgery Physician 2086S0129X DR.0073674 CO Primary

Addresses

Primary practice location

1625 Medical Center PT Ste 200
Colorado Springs, CO 80907-5748

Mailing address

2312 N Nevada Ave Ste 235
Colorado Springs, CO 80907-5312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180423002163 NC Practitioner - Vascular Surgery 6901169101 Reassigns benefits to 4 organizations
I20240918003767 CO Practitioner - Vascular Surgery 6901169101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Nova Southeastern College of Osteo Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CS Cardiology Newco LLCGroup PAC ID 2365805736, 46 clinicians

Practice addresses (Care Compare)

2222 N Nevada Ave
Suite 4007
Colorado Springs, CO 80907-6819

7435 Sisters GRV
Suite 100
Colorado Springs, CO 80923-2628
Phone (719) 960-0363

904 Hailey LN
Pueblo West, CO 81007-4455
Phone (719) 960-0363

Hospital & facility affiliations

  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031
  • Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013
  • St Mary-Corwin Hospital Hospital, Pueblo, CO, CCN 060012
  • St Francis Hospital - Interquest Hospital, Colorado Springs, CO, CCN 060133

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201800176NCMDVascular Surgery Physician
278301NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Surgical Clinic PA Vascular Surgery CurrentSince Sep 1, 2022 Accepting new patients
MCPC-9, LLC CurrentSince Mar 15, 2018 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Jan 29, 2020 Accepting new patients
CS Cardiology Newco LLC Vascular Surgery CurrentSince Sep 1, 2024 Accepting new patients
CS Cardiology Newco LLC Vascular Surgery CurrentSince Sep 1, 2024 Accepting new patients
Scotland Memorial Hospital Inc Vascular Surgery CurrentSince May 1, 2023 Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Jan 29, 2020 Accepting new patients
CS Cardiology Newco LLC Vascular Surgery Past Accepting new patients

Locations

1625 Medical Center Pt
Ste 200
Colorado Springs, CO 80907
Phone (719) 630-3276

2312 N Nevada Ave
Ste 235
Colorado Springs, CO 80907
Phone (719) 571-8840

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

3716 Morganton Rd
Ste 1
Fayetteville, NC 28303
Phone (910) 715-8700

1600 Medical Dr
Laurinburg, NC 28352
Phone (910) 277-9164

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

601 Lauchwood Dr
Laurinburg, NC 28352
Phone (910) 276-7727

5 First Village Dr
Pinehurst, NC 28374
Phone (910) 235-2713

809 S Long Dr
Ste K
Rockingham, NC 28379
Phone (910) 417-4090

Organizations & group practices 8

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 10

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1578799078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 N NEVADA AVE STE 235",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075748",
            "telephone_number": "719-776-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DANIELLE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "278301",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NC",
            "license": "201800176",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CO",
            "license": "DR.0073674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.