Jesse B Smith, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

12765 Issued in NH

Practice address

333 Borthwick Ave
Portsmouth, NH 03801-7128

Phone

(603) 433-4008

Fax

(603) 431-3572

NPI assigned

Dec 1, 2006

Last updated

Sep 25, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NH

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

Specialty

Diagnostic Radiology

Education

University of Massachusetts Medical School, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Imaging CenterGroup PAC ID 2466448030, 20 clinicians

X-Ray Professional AssociationGroup PAC ID 3375539927, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005
• Concord Hospital Hospital, Concord, NH, CCN 300001
• Concord Hospital- Franklin Hospital, Franklin, NH, CCN 301306

Merit-based Incentive Payment System (MIPS)

Final score

83.6 of 100Reported as group

Quality

80.71

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

92.3 of 100Reported as group

Quality

90.94

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jesse.smith.1@32845.direct.athenahealth.com

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.

• Concord Imaging Center

  • Radiology Clinic/Center
  • Concord, NH
  • NPI 1700859451

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• X-Ray Professional Association

  • Diagnostic Radiology Physician
  • Concord, NH
  • NPI 1790758449
  Medicare reassignment Care Compare group NPD
• Anesthesia Associates Professional Association

  • Anesthesiology Physician
  • Concord, NH
  • NPI 1881791150
  NPD (past)
• Brigham and Womens Physicians Organization Inc

  • Diagnostic Radiology Physician
  • Boston, MA
  • NPI 1265464598
  NPD (past)

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

• Concord Hospital-Franklin

  • Critical Access Hospital
  • Franklin, NH
  • NPI 1700960895
  Care Compare affiliation
• Concord Hospital-Laconia

  • General Acute Care Hospital
  • Laconia, NH
  • NPI 1053495234
  Care Compare affiliation
• Concord Hospital-Laconia

  dba Concord Hospital-Laconia Professional Billing Service

  • Family Medicine Physician
  • Laconia, NH
  • NPI 1053993741

  Hospital

  Care Compare affiliation
• Concord Hospital, Inc.

  • General Acute Care Hospital
  • Concord, NH
  • NPI 1215988530
  Care Compare affiliation

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1659449270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1849",
            "city": "LEWISTOWN",
            "state": "ME",
            "postal_code": "042411849",
            "telephone_number": "207-784-2554",
            "fax_number": "207-777-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BORTHWICK AVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017128",
            "telephone_number": "603-433-4008",
            "fax_number": "603-431-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSE",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "12765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30205280",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD OF NH",
            "identifier": "01Y008542",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dave M Smith, MA, CPRP
• Eliot Jay Smith, MD
• Emma Smith
• Felicia Ann Smith, LICENSED NURSE ASST
• Jeffrey David Smith, MD
• Jill Ann Smith, MSW
• Kellie Smith, BA
• Kristin Schaefer Smith, MS, CCC-SLP
• Kristine Smith
• Mara S Smith, PA-C

• Diagnostic Radiology Physician in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Diagnostic Radiology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.