Individual provider Active NPI

Stuart Smith, DO

  • Internal Medicine Physician
  • Warrensburg, MO
National Provider Identifier
1659375525
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R9G54 Issued in MO
Practice address
511 Burkarth Rd
Warrensburg, MO 64093-3103
Phone
(660) 747-8154
Fax
(660) 747-9757
NPI assigned
Jun 9, 2005
Last updated
Feb 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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 R9G54 MO Primary

Addresses

Primary practice location

511 Burkarth Rd
Warrensburg, MO 64093-3103

Mailing address

511 Burkarth Rd
Warrensburg, MO 64093-3103
Phone (660) 747-8154

Other identifiers 1

IdentifierTypeStateIssuer
242405629MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20101004001030 MO Practitioner - Internal Medicine 9638361041 Reassigns benefits to 1 organization
Practice locations: Warrensburg, MO

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Kansas City College of Medicine and Surgery, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Missouri Medical CenterGroup PAC ID 7416931506, 67 clinicians

Practice addresses (Care Compare)

511 Burkarth Rd
Warrensburg, MO 64093-3103
Phone (660) 747-8154

Merit-based Incentive Payment System (MIPS)

Final score
87.21 of 100Reported as group
Quality
82.95
Promoting interoperability
100
Improvement activities
40
Cost
74.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Missouri Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Western Missouri Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Bradford G Carper Sr DO PC Internal Medicine Current Accepting new patients
Western Missouri Medical Center Past Accepting new patients

Locations

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

511 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 747-8154

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.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1659375525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 BURKARTH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933103",
            "telephone_number": "660-747-8154",
            "fax_number": "660-747-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BURKARTH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933103",
            "telephone_number": "660-747-8154",
            "fax_number": "660-747-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STUART",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R9G54",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242405629",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

Verify at the official NPI Registry.