Individual provider Active NPI

Jeffrey A Smith, MD

  • Family Medicine Physician
  • Bismarck, ND
National Provider Identifier
1629017785
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5342 Issued in ND
Practice address
1033 Basin Ave
Bismarck, ND 58504-6649
Phone
(701) 223-6613
Fax
(701) 221-9114
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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 5342 ND Primary

Addresses

Primary practice location

1033 Basin Ave
Bismarck, ND 58504-6649

Mailing address

1033 Basin Ave
Bismarck, ND 58504-6649
Phone (701) 223-6613

Other identifiers 1

IdentifierTypeStateIssuer
15343MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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 1

Enrollment IDStateProvider typePAC IDDetails
I20031205000593 ND Practitioner - Family Practice 1557266152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Dakota School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Smith MD PCGroup PAC ID 7810098969, 2 clinicians

Practice addresses (Care Compare)

1033 Basin Ave
Bismarck, ND 58504-6649
Phone (701) 223-6613

Hospital & facility affiliations

  • CHI St Alexius Health Hospital, Bismarck, ND, CCN 350002
  • Sanford Medical Center Bismarck Hospital, Bismarck, ND, CCN 350015
  • St Gabriel'S Community Nursing home, Bismarck, ND, CCN 355126

Merit-based Incentive Payment System (MIPS)

Final score
88.23 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
60.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions26
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5342NDMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Smith MD PC Family Medicine CurrentSince Apr 30, 2003 Accepting new patients
Healthways PLLC Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1033 Basin Ave
Bismarck, ND 58504
Phone (701) 223-6613

Interoperability endpoints

  • Direct secure messaging: jasmithmd@h-nd.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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 3

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1629017785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 BASIN AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046649",
            "telephone_number": "701-223-6613",
            "fax_number": "701-221-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 BASIN AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046649",
            "telephone_number": "701-223-6613",
            "fax_number": "701-221-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "5342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15343",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.