Individual provider Active NPI

Joanne Smart, MD

  • Internal Medicine Physician
  • Bedford, IN
National Provider Identifier
1659365385
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01042363A Issued in IN
Practice address
2900 W 16TH Street
Bedford, IN 47421
Phone
(812) 278-8800
Fax
(812) 275-1343
NPI assigned
Sep 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01042363A IN Primary

Addresses

Primary practice location

2900 W 16TH Street
Bedford, IN 47421

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other identifiers 1

IdentifierTypeStateIssuer
100462180MedicaidIN

Other names 1

  • Joanne Ferguson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JSMART@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20090515000099 IN Practitioner - Internal Medicine 0547319816 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Jan 1, 2021 Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients

Locations

2900 16th St
Bedford, IN 47421
Phone (812) 275-1200

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

Interoperability endpoints

  • Direct secure messaging: jsmart@yourcarecommunity.org
  • Direct secure messaging: jsmart@direct.iuhealth.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1659365385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W 16TH STREET",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "47421",
            "telephone_number": "812-278-8800",
            "fax_number": "812-275-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMART",
        "first_name": "JOANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01042363A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100462180",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JSMART@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "2900 W 16TH STREET",
            "city": "BEDFORD",
            "state": "IN",
            "country_code": "US",
            "postal_code": "47421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "FERGUSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.