Individual provider Active NPI

Yale R Smith, MD

  • Anesthesiology Physician
  • Viera, FL
National Provider Identifier
1619941440
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME80599 Issued in FL
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
35767OtherFLBSFL
259242800MedicaidFL

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
18112ALMDAnesthesiology Physician
037909GAMDAnesthesiology Physician
36316IAMDAnesthesiology Physician
27966TNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.