NPIMap

Individual provider Active NPI

Greg N Smith, MD

  • Neurology Physician
  • Louisville, KY
National Provider Identifier
1649257866
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25764 Issued in KY
Practice address
3900 Kresge Way
Ste 56
Louisville, KY 40207-4683
Phone
(812) 248-4789
Fax
(812) 248-4773
NPI assigned
Dec 29, 2005
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25764 KY Primary

Addresses

Primary practice location

3900 Kresge Way
Ste 56
Louisville, KY 40207-4683

Mailing address

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223-5176
Phone (502) 253-4917

Other identifiers 6

IdentifierTypeStateIssuer
64257645MedicaidKY
000000046155OtherKYANTHEM
130006170OtherMEDICARE ID
2432393000OtherKYPASSPORT ADVANTAGE
100373840MedicaidIN
1049112OtherKYPASSPORT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gsmith33999@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070717000505 KY Practitioner - Neurology 9133229396 Reassigns benefits to 1 organization
I20091217000083 IN Practitioner - NeurologyPractitioner - Psychiatry 9133229396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
Indiana University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

1919 State St
Suite 22
New Albany, IN 47150-6801
Phone (812) 944-5255

3900 Kresge Way
Suite 56
Louisville, KY 40207-4683
Phone (502) 895-7265

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc Neurology CurrentSince Jun 1, 2016 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 1, 2016 Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1919 State St
Ste 22
New Albany, IN 47150
Phone (812) 944-5255

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900

3 Audubon Plaza Dr
Ste 110
Louisville, KY 40217
Phone (502) 367-8121

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

3900 Kresge Way
Ste 56
Louisville, KY 40207
Phone (502) 895-7265

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1649257866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 STANLEY GAULT PKWY",
            "address_2": "STE 129",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235176",
            "telephone_number": "502-253-4917",
            "fax_number": "502-489-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 KRESGE WAY",
            "address_2": "STE 56",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074683",
            "telephone_number": "812-248-4789",
            "fax_number": "812-248-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GREG",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "25764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64257645",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000046155",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "130006170",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2432393000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100373840",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1049112",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gsmith33999@bhkydirect.com",
            "affiliation": "N",
            "address_1": "3900 KRESGE WAY",
            "address_2": "STE 56",
            "city": "LOUISVILLE",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.