Active NPI
Kenneth D Smith, DO
- Physical Medicine & Rehabilitation Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- DO.3203
- Practice address
- 1801 Gadsden Hwy
Birmingham, AL 35235-3134 - Phone
- (205) 838-3900
- Fax
- (205) 838-3906
- NPI assigned
- Apr 16, 2019
- Last updated
- May 25, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7352 | OK | |
| Physical Medicine & Rehabilitation Physician | 208100000X | DO.3203 | AL | Primary |
Addresses
Primary practice location
1801 Gadsden Hwy
Birmingham, AL 35235-3134
Mailing address
1801 Gadsden Hwy
Birmingham, AL 35235-3134
Phone (205) 838-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, AL, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
224 W Erie Ave
Harrison, AR 72601-3539
Phone (870) 741-8289
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7352 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Orthopedics & Sports Medicine, P.a. | Current | Accepting new patients | |
| Arbuckle Memorial Hospital | Current | Accepting new patients |
Locations
100 Town Center Dr
#A
Harrison, AR 72601
Phone (870) 741-8289
224 W Erie Ave
Harrison, AR 72601
Phone (870) 414-4599
Interoperability endpoints
- ksmith@orthoalabama.emadirect.md
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Harrison, AR
- NPI 1184846065
-
- Critical Access Hospital
- Sulphur, OK
- NPI 1700869492
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba BRMC Professional Fees
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1033147921
-
dba Baxter Health
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1881788933
-
dba Emergency Medical Service Pro Fee
- Land Ambulance
- Harrison, AR
- NPI 1013907682
Hospital
-
- General Acute Care Hospital
- Harrison, AR
- NPI 1275523912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1609439611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 GADSDEN HWY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353134",
"telephone_number": "205-838-3900",
"fax_number": "205-838-3906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 GADSDEN HWY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353134",
"telephone_number": "205-838-3900",
"fax_number": "205-838-3906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KENNETH",
"middle_name": "D",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-16",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "7352",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AL",
"license": "DO.3203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.