Individual provider Active NPI

Christopher D Smalley, P.A.

  • Physician Assistant
  • Richmond, IN
National Provider Identifier
1619090131
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10000676A Issued in IN
Practice address
1050 Reid Parkway
Suite 220
Richmond, IN 47374-1161
Phone
(765) 962-8551
Fax
(765) 962-2591
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10000676A IN Primary

Addresses

Primary practice location

1050 Reid Parkway
Suite 220
Richmond, IN 47374-1161

Mailing address

1100 Reid Pkwy
Medical Staff Services
Richmond, IN 47374-1157
Phone (765) 935-8802

Other identifiers 1

IdentifierTypeStateIssuer
000000683307OtherINANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address csmalley301321@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000205 IN Practitioner - Physician Assistant 7517930217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

1050 Reid Pkwy
Suite 325
Richmond, IN 47374-1161
Phone (765) 962-8551

1100 Reid Pkwy
Richmond, IN 47374-1157

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10000676AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc. Physician Assistant CurrentSince Jan 20, 2011 Accepting new patients
Reid Physician Associates, Inc CurrentSince Jan 20, 2011 Accepting new patients
Major Hospital Past Accepting new patients
Reid Hospital & Health Care Services Inc Past Accepting new patients
Meridian Health Services Corp Past Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients

Locations

1050 Reid Pkwy
Ste 220
Richmond, IN 47374
Phone (765) 962-9541

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

110 E 13th St
Fl 1
Rushville, IN 46173
Phone (317) 705-2000

Interoperability endpoints

  • Direct secure messaging: csmalley301321@reidhealth.direct-ci.com

Organizations & group practices 6

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 1

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1619090131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-935-8802",
            "fax_number": "765-983-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 REID PARKWAY",
            "address_2": "SUITE 220",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741161",
            "telephone_number": "765-962-8551",
            "fax_number": "765-962-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000676A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000683307",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csmalley301321@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1050 Reid Parkway",
            "address_2": "Suite 220",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.