Active NPI
Ian A Smith, MD
- Critical Care Medicine (Internal Medicine) Physician
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- MD205339
- Practice address
- 2041 NE Williamson CT Ste B
Bend, OR 97701-3941 - Phone
- (541) 706-7715
- Fax
- (541) 706-7742
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | MD00042448 | WA | |
| Pulmonary Disease Physician | 207RP1001X | MD00042448 | WA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD00042448 | WA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD205339 | OR | Primary |
Addresses
Primary practice location
2041 NE Williamson CT Ste B
Bend, OR 97701-3941
Mailing address
PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476
Other practice location 1
1100 9th Ave
Seattle, WA 98101-2756
Phone (206) 223-6600
Other practice location 2
515 Minor Ave Ste 300
Seattle, WA 98104-2133
Phone (206) 386-9500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3529SM | Other | WA | BLUE SHIELD |
| 0039581 | Other | WA | L&I |
| 8411282 | Medicaid | WA | |
| P00341222 | Other | WA | RAILROAD MEDICARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ismith138592@secure.stcharleshealthcare.org | ||
| Direct Messaging Address | ismith1043282@wm.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Jenner Medical College, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2500 NE Neff Rd
Pulmonary Clin
Bend, OR 97701-6015
Phone (541) 706-7715
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00042448 | WA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients |
Locations
29358 Network Pl
Chicago, IL 60673
1345 NW Wall St
Ste 200
Bend, OR 97703
Phone (541) 330-2103
2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333
211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164
Interoperability endpoints
- ian.smith@direct.vmmc.org
- ismith1043282@wm.providencedirect.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Bend, OR
- NPI 1023331303
-
- Specialist
- Bend, OR
- NPI 1700697935
-
- Oxygen Equipment & Supplies (DME)
- Redmond, OR
- NPI 1427140870
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- John Day, OR
- NPI 1356414395
-
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
- Critical Access Hospital
- Burns, OR
- NPI 1285742338
-
- Critical Access Hospital
- Madras, OR
- NPI 1356389894
-
- Critical Access Hospital
- Prineville, OR
- NPI 1710160445
-
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1588770655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25608",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841250608",
"telephone_number": "206-320-4476",
"fax_number": "206-568-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 NE WILLIAMSON CT STE B",
"city": "BEND",
"state": "OR",
"postal_code": "977013941",
"telephone_number": "541-706-7715",
"fax_number": "541-706-7742"
}
],
"practiceLocations": [
{
"address_1": "1100 9th Ave",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981012756",
"country_code": "US",
"telephone_number": "206-223-6600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "515 Minor Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981042133",
"country_code": "US",
"telephone_number": "206-386-9500",
"fax_number": "206-386-9605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "IAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "WA",
"license": "MD00042448",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WA",
"license": "MD00042448",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WA",
"license": "MD00042448",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "OR",
"license": "MD205339",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "3529SM",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0039581",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8411282",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00341222",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ismith138592@secure.stcharleshealthcare.org",
"affiliation": "N",
"address_1": "2041 NE Williamson Ct Ste B",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977013941",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ismith1043282@wm.providencedirect.org",
"affiliation": "N",
"address_1": "515 Minor Ave Ste 300",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981042133",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.