NPIMap

Individual provider Active NPI

Matthew J Smith, MD

  • Family Medicine Physician
  • Waterloo, IA
National Provider Identifier
1609876507
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34208 Issued in IA
Practice address
1753 W Ridgeway Ave Ste 103a
Waterloo, IA 50701-4521
Phone
(319) 235-3568
Fax
(319) 235-5013
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2020

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 34208 IA Primary

Addresses

Primary practice location

1753 W Ridgeway Ave Ste 103a
Waterloo, IA 50701-4521

Mailing address

PO Box 2818
Waterloo, IA 50704-2818
Phone (319) 235-3568

Other identifiers 1

IdentifierTypeStateIssuer
5212415MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040526001718 IA Practitioner - Family PracticePractitioner - Emergency Medicine 1355322199 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Waterloo, IA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Matthew Smith MD PCGroup PAC ID 8022402411, 2 clinicians

Practice addresses (Care Compare)

1753 W Ridgeway Ave
Suite 103a
Waterloo, IA 50701-4521
Phone (319) 235-3568

Hospital & facility affiliations

  • Unitypoint at Home Home health agency, Waterloo, IA, CCN 167147
  • Cedar Valley Hospice Hospice, Waterloo, IA, CCN 161504
  • Allen Hospital Hospital, Waterloo, IA, CCN 160110
  • Waverly Health Center Hospital, Waverly, IA, CCN 161339
  • Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067
  • Mercy Medical Center-New Hampton Hospital, New Hampton, IA, CCN 161331
  • Sartori Memorial Hospital, Inc Hospital, Cedar Falls, IA, CCN 160040
  • The Suites at Western Home Communities Nursing home, Cedar Falls, IA, CCN 165622

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Smith MD PC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients
Matthew J Smith Family Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

1795 Highway 64 E
Anamosa, IA 52205
Phone (319) 462-6161

104 Broadway Pl
Anamosa, IA 52205
Phone (319) 462-5817

1753 W Ridgeway Ave
Ste 103A
Waterloo, IA 50701
Phone (319) 235-3568

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

Interoperability endpoints

  • Direct secure messaging: msmith108445@direct.unitypoint.org

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 4

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 8

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1609876507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2818",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042818",
            "telephone_number": "319-235-3568",
            "fax_number": "319-235-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 W RIDGEWAY AVE STE 103A",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014521",
            "telephone_number": "319-235-3568",
            "fax_number": "319-235-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "34208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5212415",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.