Individual provider Active NPI

Douglas Craig Smith, MD

  • Family Medicine Physician
  • Raton, NM
National Provider Identifier
1598717217
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G8423 Issued in TX
Practice address
203 Hospital Dr
Raton, NM 87740-2012
Phone
(575) 445-3661
Fax
(575) 445-7737
NPI assigned
May 17, 2006
Last updated
May 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G8423 TX Primary

Addresses

Primary practice location

203 Hospital Dr
Raton, NM 87740-2012

Mailing address

203 Hospital Dr
Raton, NM 87740-2012
Phone (575) 445-3661

Other identifiers 1

IdentifierTypeStateIssuer
1J7795MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20201203001071 NM Practitioner - Family Practice 4082882980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
71.49
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G8423TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miners Colfax Medical Center CurrentSince Oct 19, 2020 Accepting new patients
Miners Colfax Medical Center CurrentSince Oct 19, 2020 Accepting new patients
Miners Colfax Medical Center Past Accepting new patients

Locations

203 Hospital Dr
Raton, NM 87740
Phone (505) 445-2741

Interoperability endpoints

  • Direct secure messaging: dsmith@mcmc.securechart.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/1762c86e-d105-4afc-a3d1-9e89748c9af3/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1598717217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 HOSPITAL DR",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877402012",
            "telephone_number": "575-445-3661",
            "fax_number": "575-445-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 HOSPITAL DR",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877402012",
            "telephone_number": "575-445-3661",
            "fax_number": "575-445-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DOUGLAS",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1J7795",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raton, NM

Sources for this page

Verify at the official NPI Registry.