Individual provider Active NPI

Kenneth D Smith, DO

  • Physical Medicine & Rehabilitation Physician
  • Birmingham, AL
National Provider Identifier
1609439611
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
DO.3203 Issued in AL
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220307001854 OK Practitioner - Family Practice 1254725336 Reassigns benefits to 1 organization
I20230531000825 AL Practitioner - Physical Medicine and Rehabilitation 1254725336
I20251022000328 AR Practitioner - Interventional Pain Management 1254725336 Reassigns benefits to 1 organization

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
Arkansas Orthopedics and Sports Medicine, P.a.Group PAC ID 0941392211, 7 clinicians

Practice addresses (Care Compare)

224 W Erie Ave
Harrison, AR 72601-3539
Phone (870) 741-8289

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7352OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Orthopedics & Sports Medicine, P.a. CurrentSince Aug 10, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.