Active NPI
Yale R Smith, MD
- Anesthesiology Physician
- Viera, FL
National Provider Identifier
1619941440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME80599
- Practice address
- 7000 Spyglass CT Ste 300
Viera, FL 32940-7948 - Phone
- (321) 421-7111
- Fax
- (321) 421-7157
- NPI assigned
- Feb 16, 2006
- Last updated
- Mar 2, 2021
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 36316 | IA | |
| Anesthesiology Physician | 207L00000X | 27966 | TN | |
| Anesthesiology Physician | 207L00000X | 32260 | KY | |
| Anesthesiology Physician | 207L00000X | 037909 | GA | |
| Anesthesiology Physician | 207L00000X | 18112 | AL | |
| Anesthesiology Physician | 207L00000X | ME80599 | FL | Primary |
Addresses
Primary practice location
7000 Spyglass CT Ste 300
Viera, FL 32940-7948
Mailing address
7000 Spyglass CT Ste 300
Viera, FL 32940-7948
Phone (321) 421-7111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35767 | Other | FL | BSFL |
| 259242800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18112 | AL | MD | Anesthesiology Physician |
| 037909 | GA | MD | Anesthesiology Physician |
| 36316 | IA | MD | Anesthesiology Physician |
| 27966 | TN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Brevard Anesthesiologists, PA | Anesthesiology | Past | Accepting new patients |
| Chiropractic Rehabilitation & Injury Clinic Inc | Past | Accepting new patients | |
| First Anesthesia Associates Inc | Past | Accepting new patients | |
| Millenium Anesthesia LLC | Anesthesiology | Past | Accepting new patients |
| Gulf Coast Hma Physician Management LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
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- NPI 1932470648
-
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-
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- NPI 1659350494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1619941440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 SPYGLASS CT STE 300",
"city": "VIERA",
"state": "FL",
"postal_code": "329407948",
"telephone_number": "321-421-7111",
"fax_number": "321-421-7157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 SPYGLASS CT STE 300",
"city": "VIERA",
"state": "FL",
"postal_code": "329407948",
"telephone_number": "321-421-7111",
"fax_number": "321-421-7157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "YALE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IA",
"license": "36316",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "27966",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KY",
"license": "32260",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "037909",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AL",
"license": "18112",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME80599",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSFL",
"identifier": "35767",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "259242800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Viera, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.